TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH


Address: 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122
Phone: 8178823770

TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH (NPI# 1336172105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336172105
Entity Type Organization
Organization Name TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
Practice Address 1301 Pennsylvania Ave
Fort Worth
TX 76104-2122
Mailing Address 500 E Border St
Arlington
TX 76010-7445
Practice Telephone 8178823770
Practice Fax Number 8178823781
Mailing Telephone 6822366000
Mailing Fax Number 6822364620
Enumeration Date 2006-07-07
Last Update Date 2020-07-23
Authorized Official Name DAVID CHARLES SALSBERRY (CHIEF REVENUE OFFICER)
Authorized Official Telephone 6822366485
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
000235 TX Ambulatory Health Care Facilities
Y 282N00000X General Acute Care Hospital 000235 TX Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
TX SECTION 1011 450135B000000 01
TX BLUE CROSS ACUTE HH0049 01
TX MEDICAID HASCO 112677301 01
TX 112677302 05
TX FIRSTCARE 103874100 01
TX KIDNEY HEALTH 003114 01
TX DEPT OF LABOR 181895800 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851439137 Texas Health Harris Methodist Hospital Fort Worth Clinic/Center 1512 Pennsylvania Avenue, Fort Worth, TX 76104-2122 2007-02-01
1043681356 Texas Health Harris Methodist Hospital Fort Worth Clinic/Center 1301 Pennsylvania Ave, Ft Worth, TX 76104-2122 2015-10-13
1912130774 Texas Health Harris Methodist Hospital Fort Worth Clinical Medical Laboratory 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 2009-08-27
1972637619 Texas Health Harris Methodist Hospital Fort Worth Chronic Disease Hospital 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2007-03-15
1538292990 Texas Health Harris Methodist Hospital Fort Worth Clinic/Center 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2007-03-14
1710061023 Texas Health Harris Methodist Hospital Fort Worth Rehabilitation Unit 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2006-10-24
1407866064 Texas Health Harris Methodist Hospital Fort Worth Internal Medicine 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2006-08-08

Office Location

Street Address 1301 PENNSYLVANIA AVE
City FORT WORTH
State TX
Zip Code 76104-2122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144227257 Robert Louis Quillin Pediatrics 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2005-07-05
1003414996 Jana Mitchell Registered Nurse 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-10-13
1730799941 Brin Alexandra Morris Registered Nurse 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-08-03
1871103168 Niki Sheth Registered Nurse 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-08-03
1033736863 Molly Taylor Respiratory Therapist, Registered 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-06-27
1215554175 Suja Varghese Nurse Practitioner 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-06-26
1538786470 Amanda A Viehmann Registered Nurse 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-06-26
1376169599 Heather Nicole Le Nurse Practitioner 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-06-23
1750904249 Kelli Renee Vogler Physician Assistant 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-05-19
1598387169 Alim Virji Radiology 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 2020-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972950418 Angela Ehlen General Acute Care Hospital 517 Stone Crossing Ln, Fort Worth, TX 76140-7503 2016-05-14
1407229529 Decatur Hospital Authority General Acute Care Hospital 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 2015-11-11
1831515550 Forest Park Mecial Center At Fort Worth, LLC General Acute Care Hospital 5400 Clearfork Main St, Fort Worth, TX 76107 2014-03-06
1275884165 Federal Bureau of Prisons General Acute Care Hospital J Street, Bldg 3000, Fmc Carswell, Fort Worth, TX 76127-7066 2012-10-02
1568656502 Usmd Hospital At Fort Worth, L.p. General Acute Care Hospital 5900 Dirks Rd, Fort Worth, TX 76132-5473 2007-09-04
1871599183 Fort Worth Surgicare Partners, Ltd. General Acute Care Hospital 1800 Park Place Ave, Fort Worth, TX 76110-1302 2005-06-22
1427682137 Decatur Hospital Authority General Acute Care Hospital 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 2020-03-03
1003208091 Victory Medical Center Fort Worth, Lp General Acute Care Hospital 600 South Main, Fort Worth, TX 76104 2015-02-27
1649681412 John Peter Smith Hospital General Acute Care Hospital 1500 S Main St, Fort Worth, TX 76104-4917 2014-05-15
1871911016 North Texas - Mca LLC General Acute Care Hospital 3101 N Tarrant Pkwy, Fort Worth, TX 76177-8601 2014-04-04
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Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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