NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC. (NPI# 1417215989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417215989 |
| Entity Type | Organization |
| Organization Name | NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC. |
| Other Organization Name | WISE COUNTY COMMUNITY HEALTH CENTER |
| Practice Address |
2000 S Fm 51 Suite D Decatur TX 76234-3702 |
| Mailing Address |
2100 N Main St Suite 107 Fort Worth TX 76164-8570 |
| Practice Telephone | 9403930100 |
| Practice Fax Number | 9403930199 |
| Mailing Telephone | 8173780855 |
| Mailing Fax Number | 8173780861 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2015-01-12 |
| NPI Deactivation Date | 10/23/2013 |
| NPI Reactivation Date | 2015-01-12 |
| Authorized Official Name | MR. ARCADIO VIVEROS (CEO) |
| Authorized Official Telephone | 8173780855 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wise County Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568420800 | North Texas Area Community Health Centers, Inc. | Family Medicine | 2332 Beverly Hills Dr, Fort Worth, TX 76114-1756 | 2006-05-03 |
| Street Address |
2000 S FM 51 SUITE D |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659439 | Chris E Mcgee | Family Medicine | 2000 S Fm 51, Decatur, TX 76234-3702 | 2005-06-16 |
| 1881105559 | Johnathan Joel Swofford | Nurse Practitioner | 2000 S Fm 51, Decatur, TX 76234 | 2017-10-20 |
| 1821543646 | Alicia Mccue | Nurse Practitioner | 2000 S Fm 51, Decatur, TX 76234-3702 | 2016-08-22 |
| 1700180197 | Wanda R Villard | Nurse Practitioner | 2000 S Fm 51, Decatur, TX 76234-3702 | 2010-12-29 |
| 1790006252 | Chris Mcgee Md Pa | Family Medicine | 2000 S Fm 51, Decatur, TX 76234-3702 | 2010-06-18 |
| 1154646917 | Camille N Cobb | Nurse Practitioner | 2000 S Fm 51, Decatur, TX 76234-3702 | 2010-04-05 |
| 1467614768 | Haroon Siddique, Md, Pa | Psychiatric Unit | 2000 S Fm 51, Decatur, TX 76234-3702 | 2008-06-27 |
| 1760659825 | Neurospectrum, Ltd. | Contractor | 2000 S Fm 51, Decatur, TX 76234-3702 | 2008-05-08 |
| 1902077746 | Neurospectrum, Ltd. | Contractor | 2000 S Fm 51, C/o Sleep Specialties, West Campus, Decatur, TX 76234-3702 | 2008-03-20 |
| 1174711022 | Decatur Hospital Authority | General Acute Care Hospital | 2000 S Fm 51, Decatur, TX 76234-3702 | 2007-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1407376338 | Board of Trustees of Southern Illinois University | Clinic/Center | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2017-06-21 |
| 1053769273 | Recovery Consultants of Atlanta, Inc. | Clinic/Center | 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440 | 2016-05-27 |
| 1114393543 | Saint Joseph's Mercy Care Services Inc. | Clinic/Center | 3110 Clifton Springs Rd, Suite B, Decatur, GA 30034-4600 | 2015-08-20 |
| 1861893216 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 445 Winn Way, Decatur, GA 30030-1707 | 2014-09-04 |
| Find all providers in DECATUR | ||||
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| 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.