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HEART OF PURPOSE FOUNDATION INC NPI 1912573452


NPI Information

NPI: 1912573452
Provider Name: HEART OF PURPOSE FOUNDATION INC

Doing Business As: JB PROFESSIONAL SPORTS MED CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
325 N SAINT PAUL ST STE 3100
DALLAS, TX
ZIP 75201
Phone: (469) 781-0350
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HEART OF PURPOSE FOUNDATION INC is a federally qualified health center (fqhc) clinic center in Dallas, TX. HEART OF PURPOSE FOUNDATION INC NPI is 1912573452. The provider is registered as an organization entity type.
The provider Is Doing Business As Jb Professional Sports Med Clinic.

The provider's business location address is:

325 N SAINT PAUL ST STE 3100
DALLAS, TX
ZIP 75201-923
Phone: (469) 781-0350

The provider's authorized official is Jonnita Brown .
The authorized official title is Owner / Athletic Director and has the following contact phone number (469) 781-0350.

The enumeration date for this NPI number is 6/3/2021 and was last updated on 6/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174200000XMealsNo
2177F00000XLodgingNo
3251K00000XPublic Health or WelfareNo
4251V00000XVoluntary or CharitableNo
5253Z00000XIn Home Supportive CareNo
6261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes
7261QP2300XClinic/CenterPrimary CareNo
8261QR0400XClinic/CenterRehabilitationNo
9261QR0800XClinic/CenterRecovery CareNo
10261QR1100XClinic/CenterResearchNo
11332B00000XDurable Medical Equipment & Medical SuppliesNo
12332U00000XHome Delivered MealsNo
13333300000XEmergency Response System CompaniesNo
14342000000XTransportation Network CompanyNo
15347C00000XPrivate VehicleNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.