SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED


Address: 1011 College Street, Jacksonville, TX 75766-3307
Phone: 9035412571

SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED (NPI# 1518469527) 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) 1518469527
Entity Type Organization
Organization Name SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Other Organization Name TRUE NORTH HEALTH CENTER
Practice Address 1011 College Street
Jacksonville
TX 75766-3307
Mailing Address Po Box 2709
Longview
TX 75606-2709
Practice Telephone 9035412571
Practice Fax Number 9032846830
Mailing Telephone 9032340776
Mailing Fax Number 9042349769
Enumeration Date 2018-03-06
Last Update Date 2018-10-23
Authorized Official Name KIM DALE NESVIG (CHIEF EXECUTIVE OFFICER (CEO))
Authorized Official Telephone 9032340776
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
TRUE NORTH HEALTH CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184103285 Special Health Resources for Texas, Incorporated Clinic/Center 4519 Troup Hwy, Tyler, TX 75703-2350 2018-08-09
1184113466 Special Health Resources for Texas, Incorporated Internal Medicine 300 E 6th St, Texarkana, AR 71854 2018-05-02
1740783620 Special Health Resources for Texas, Incorporated Clinic/Center 1300 N 6th St, Longview, TX 75601-5567 2018-03-16
1346791258 Special Health Resources for Texas, Incorporated Clinic/Center 3150 Clarksville St, Paris, TX 75460-8076 2016-10-17

Office Location

Street Address 1011 COLLEGE STREET
City JACKSONVILLE
State TX
Zip Code 75766-3307

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770062788 David Rentz Occupational Therapy Assistant 838 Brown St., Jacksonville, TX 75766 2018-08-09
1295233146 Amanda Dawn Anderson Licensed Vocational Nurse Fm 347, Jacksonville, TX 75766 2018-01-25
1467896241 Christopher Mark Sirianni Anesthesiology 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 2013-04-23
1164703047 Aegis Psychological Consulting LLC Psychologist 208 E. Rusk St., Jacksonville, TX 75766 2011-09-06
1952697872 Melissa Springmeyer Family Medicine 2026 South Jacksonville Street, Jacksonville, TX 75766 2011-06-20
1306031018 Michael Kay Moore Occupational Therapist 4155 Cr 3908, Jacksonville, TX 75766 2007-09-06
1730398827 Cherokee County Health Department Public Health or Welfare 510 East Commerce, Jacksonville, TX 75766 2007-05-22
1568689545 Mary Alice Bone Preventive Medicine 510 E. Commerce, Jacksonville, TX 75766 2007-04-19
1619093176 Assisted Living Concepts Inc Assisted Living Facility 211 Phillip Street, Jacksonville, TX 75766 2007-03-22
1265560767 Anderson Cherokee Community Enrichment Services Counselor 1011 College Ave, Jacksonville, TX 75766 2007-02-28
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982069795 Agape Community Health Center, Inc. Clinic/Center 5316 N Pearl St, Jacksonville, FL 32208-5119 2015-12-21
1497010425 Fl Department of Health Clinic/Center 1736 University Blvd S, Jacksonville, FL 32216-8929 2012-07-05
1578892485 Grandmary's House Clinic/Center 4828 Evanston Rd, Jacksonville, FL 32208 2009-12-24
1326668351 Agape Community Health Center, Inc Clinic/Center 6024 Merrill Rd, Jacksonville, FL 32277-3427 2020-04-20
1376178814 Agape Community Health Center, Inc Clinic/Center 1680 Dunn Ave Ste 35, Jacksonville, FL 32218-4744 2020-03-05
1760963516 Arcare Clinic/Center 1400 Braden St Ste 1, Jacksonville, AR 72076-3721 2018-08-28
1649628009 Board of Trustees of Southern Illinois University Clinic/Center 345 W State St, Jacksonville, IL 62650-1879 2016-05-26
1578928826 Agape Community Health Center, Inc. Clinic/Center 5460 Blanding Blvd, Jacksonville, FL 32244-1957 2015-12-30
1245695774 Agape Community Health Center, Inc Clinic/Center 3900 University Blvd S Ste 2, Jacksonville, FL 32216-4331 2015-12-29
1316302847 Agape Community Health Mobile Unit Clinic/Center 1880 Edgewood Ave W, Jacksonville, FL 32208-3021 2015-12-29
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Competitor

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City JACKSONVILLE
Zip Code 75766

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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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