NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC. (NPI# 1568420800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568420800 |
| Entity Type | Organization |
| Organization Name | NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC. |
| Other Organization Name | NORTHSIDE COMMUNITY HEALTH CENTER |
| Practice Address |
2332 Beverly Hills Dr Fort Worth TX 76114-1756 |
| Mailing Address |
2332 Beverly Hills Dr Fort Worth TX 76114 |
| Practice Telephone | 8173780855 |
| Practice Fax Number | 8173780861 |
| Mailing Telephone | 8173780855 |
| Mailing Fax Number | 8173780861 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | JERRY PYRON (CFO) |
| Authorized Official Telephone | 8175466477 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | TX | Allopathic & Osteopathic Physicians | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northside Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417215989 | North Texas Area Community Health Centers, Inc. | Clinic/Center | 2000 S Fm 51, Suite D, Decatur, TX 76234-3702 | 2012-05-02 |
| Street Address |
2332 BEVERLY HILLS DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76114-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932172574 | Latasha Nicole Jarrett | Obstetrics & Gynecology | 2332 Beverly Hills Dr, Fort Worth, TX 76114-1756 | 2006-02-13 |
| 1861910382 | Tiffany Flood | Nurse Practitioner | 2332 Beverly Hills Dr, Fort Worth, TX 76114-1756 | 2017-09-05 |
| 1003351057 | Danielle Purcell Lopez | Physician Assistant | 2332 Beverly Hills Dr, Fort Worth, TX 76114-1756 | 2016-12-30 |
| 1932657244 | Alexander Benton Vanderzant | Physician Assistant | 2332 Beverly Hills Dr, Fort Worth, TX 76114-1756 | 2016-09-15 |
| 1528380078 | Ijeoma Maureen Muo | Internal Medicine | 2332 Beverly Hills Dr, Fort Worth, TX 76114-1756 | 2010-02-25 |
| 1003915802 | Khalid H Syed | Pediatrics | 2332 Beverly Hills Dr, Fort Worth, TX 76114-1756 | 2006-09-21 |
| 1811904634 | Elena Maria Martinez | Nurse Practitioner | 2332 Beverly Hills Dr, Fort Worth, TX 76114-1756 | 2006-08-02 |
| 1700848587 | Gladys Huertas | Physician Assistant | 2332 Beverly Hills Dr, Fort Worth, TX 76114-1756 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917957 | Jennie Bauchert | Massage Therapist | 1205 Roaring Springs Rd., Ft Worth, TX 76114 | 2020-09-16 |
| 1417438243 | North Texas Area Community Health Centers, Inc | Pharmacy | 2332 Beverly Hills Drive Ste 1116, Ft. Worth, TX 76114 | 2018-08-29 |
| 1023525573 | Jennifer Christine Arriaga | Occupational Therapy Assistant | 125 Smallwood, Fort Worth, TX 76114 | 2018-01-05 |
| 1831617216 | Kailene Allis | Specialist/Technologist | 5519 Norte Dame Ave, River Oaks, TX 76114 | 2017-09-06 |
| 1336662022 | Ben Luka | Dentist | 639 Alta Mere Dr, Fort Worth, TX 76114 | 2017-07-25 |
| 1750771382 | Signature Family Dentistry Pllc | Dentist | 4839 River Oaks Blvd., River Oaks, TX 76114 | 2015-02-04 |
| 1447668223 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2245 Jacksonboro Hwy, Ft. Worth, TX 76114 | 2014-07-24 |
| 1558611897 | Walgreens | Pharmacist | 5716 Aton Ave, Westworth Village, TX 76114 | 2012-09-13 |
| 1437439551 | Ashley Kristen Murrey | Dentist | 6628 Westworth Blvd, Westworth Village, TX 76114 | 2011-08-20 |
| 1598054637 | Ashley Anne Trabon | Physician Assistant | 4819 River Oaks, Fort Worth, TX 76114 | 2011-03-29 |
| Find all providers in zip 76114 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1275134595 | Legacy Community Health Services, Inc | Clinic/Center | 507 Crenshaw Rd., Houston, TX 77034-1543 | 2020-11-03 |
| 1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
| 1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
| 1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76114 |
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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.