CHISHOLM TRAIL EMERGENCY CENTER (NPI# 1396280756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396280756 |
| Entity Type | Organization |
| Organization Name | CHISHOLM TRAIL EMERGENCY CENTER |
| Other Organization Name | ICARE EMERGENCY ROOM |
| Practice Address |
5500 Sycamore School Rd. Ste. 150 Fort Worth TX 76123 |
| Practice Telephone | 2144078668 |
| Practice Fax Number | 2144078665 |
| Mailing Telephone | 2144078668 |
| Mailing Fax Number | 2144078665 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | DR. SHANE COLE (CEO) |
| Authorized Official Telephone | 2144078668 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| iCare Emergency Room | Doing Business As Name - Organization |
| Street Address |
5500 SYCAMORE SCHOOL RD. STE. 150 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
| 1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
| 1306361431 | Kelley Phillips | Counselor | 5013 Pallas Court, Fort Worth, TX 76123 | 2017-08-09 |
| 1457801391 | Point of Grace Home Health | Registered Nurse | 2533 Mill Spring Pass, Fort, TX 76123 | 2016-10-04 |
| 1992253306 | Jason Bowers | Specialist/Technologist, Other | 5316 Quail Feather Dr, Fort Worth, TX 76123 | 2016-09-14 |
| 1831546944 | Kalima Charway | Psychologist | 4532 Endercrest Lane, Fort Worth, TX 76123 | 2016-05-18 |
| 1033551577 | Michael Rose | Specialist | 4924 Belladonna Dr, Fort Worth, TX 76123 | 2013-07-25 |
| 1265871768 | Anna Uppal | Dentist | 100 Wolfe Nursery Street, 180, Stephenville, TX 76123 | 2013-06-18 |
| 1366880627 | Mesa Springs, LLC | Psychiatric Hospital | 5560 Mesa Springs Drive, Fort Worth, TX 76123 | 2013-06-10 |
| 1972851673 | House of Agape | In Home Supportive Care | 8109 Cloverglen Ln, Fort Worth, TX 76123 | 2012-08-28 |
| Find all providers in zip 76123 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033636865 | Ehc Institutional LLC | Clinic/Center | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-08-23 |
| 1730541475 | Lumin Er Camp Bowie LLC | Clinic/Center | 4520 Camp Bowie Blvd, Fort Worth, TX 76107-3837 | 2016-03-22 |
| 1457750853 | Haslet Medical Center LLC | Clinic/Center | 13172 Nw Hwy 287, Fort Worth, TX 76052 | 2014-08-21 |
| 1801202908 | Complete Emergency Care Oakmont LLC | Clinic/Center | 7445 Oakmont Blvd, Fort Worth, TX 76132-3905 | 2014-07-09 |
| 1598014995 | Basswood Medical Center LLC | Clinic/Center | 5401 Basswood Blvd, Fort Worth, TX 76137-6909 | 2012-08-31 |
| 1881849099 | Western Center Medical Center | Clinic/Center | 2710 Western Center Blvd, Fort Worth, TX 76131-4301 | 2008-12-02 |
| 1285252593 | Emer North Fort Worth Beach, LLC | Clinic/Center | 4551 Western Center Blvd, Fort Worth, TX 76137-2628 | 2020-07-13 |
| 1992273544 | Emcc Chisholm Trail, LLC | Clinic/Center | 7445 Oakmont Blvd, Fort Worth, TX 76132-3905 | 2018-11-12 |
| 1538529912 | The Emergency Center At West 7th | Clinic/Center | 1101 University Dr, Fort Worth, TX 76107-3134 | 2016-02-29 |
| 1053771477 | Tec Emergency Physicians, Pllc | Clinic/Center | 1101 University Dr, Fort Worth, TX 76107-3134 | 2016-02-26 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76123 |
Please comment or provide details below to improve the information on CHISHOLM TRAIL EMERGENCY CENTER.
| 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.