FRONTIER MEDICAL HOUSE CALL SERVICE LLC (NPI# 1326539552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326539552 |
| Entity Type | Organization |
| Organization Name | FRONTIER MEDICAL HOUSE CALL SERVICE LLC |
| Practice Address |
308 Autumn Park Fort Worth TX 76140 |
| Mailing Address |
308 Autumn Park Fort Worth TX 76140-6524 |
| Practice Telephone | 6825523574 |
| Practice Fax Number | 8004601764 |
| Mailing Telephone | 8004601764 |
| Mailing Fax Number | 8004678597 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | OLASIMBO ODUTAYO (OWNER) |
| Authorized Official Telephone | 8177294296 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | AP131147 | TX | Ambulatory Health Care Facilities |
| Street Address |
308 AUTUMN PARK |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376994566 | Olasimbo Ifasewa Odutayo | Nurse Practitioner | 308 Autumn Park, Fort Worth, TX 76140-6524 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030367 | Children & Family Services | Case Manager/Care Coordinator | 10129 South Race Street, Fort Worth, TX 76140 | 2019-05-29 |
| 1366890352 | Charisse Huey | Social Worker | 8512 Cherry Bark Lane, Fort Worth, TX 76140 | 2016-05-31 |
| 1144662479 | Tiwanna Ortiz | Specialist | 9308 Rhoni Court, Fort Worth, TX 76140 | 2013-07-29 |
| 1760618474 | Divine Home Health Care Services | Home Health | 308, Autumn Park, Fort-worth, TX 76140 | 2009-06-09 |
| 1336386044 | John P Murphy | Dentist | 1609 Everman Pkwy, Ft Worth, TX 76140 | 2009-01-16 |
| 1831306596 | Patricia R Morton | Dentist | 6619 Forest Hill #55, Fort Worth, TX 76140 | 2007-05-16 |
| 1669405551 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1132 Everman Parkway, Fort Worth, TX 76140 | 2006-07-07 |
| 1417994948 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 2816 Se Loop 820, Fort Worth, TX 76140 | 2006-06-01 |
| 1184813818 | American Current Care, P.a. | Clinic/Center | 1132 Everman Parkway, Fort Worth, TX 76140 | 2007-10-18 |
| 1700962990 | Sam's Club Optical | Technician/Technologist | 2440 Se Loop 820, Fort Worth, TX 76140-1008 | 2006-10-31 |
| Find all providers in zip 76140 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 1730731688 | Bebd Telehealth | Clinic/Center | 2009 Tremont Ave, Fort Worth, TX 76107-3959 | 2019-07-11 |
| 1821594045 | Goshen Family Clinic, Inc. | Clinic/Center | 5225 Hunters Ridge Rd, # 715, Fort Worth, TX 76132-1853 | 2018-04-05 |
| 1629527312 | Midtown Medical Imaging - Alliance | Clinic/Center | 9557 N. Beach St., Suite 101, Fort Worth, TX 76244 | 2016-09-23 |
| 1497008411 | Dr Mark Smith Pa | Clinic/Center | 7100 Oakmont Blvd. # 108, Fort Worth, TX 76132-3908 | 2012-10-16 |
| 1033461017 | Dr. Mark Smith Pa | Clinic/Center | 7100 Oakmont Bvld Suite 108, Fort Worth, TX 76132-3908 | 2012-10-15 |
| 1407049034 | University Family Medical Clinic P.a. | Clinic/Center | 117 University Dr, Fort Worth, TX 76107-1922 | 2007-08-27 |
| 1912045279 | Hmr Management Corporation | Clinic/Center | 901 W Leuda St, Fort Worth, TX 76104-3003 | 2007-02-01 |
| 1952396004 | Motus Center, Inc. | Clinic/Center | 3857 Washburn Ave, Fort Worth, TX 76107-3954 | 2005-09-14 |
| 1336660273 | Taylor Made Integrative Therapy | Clinic/Center | 2600 Alemeda St Ste 201, Fort Worth, TX 76108-4042 | 2017-06-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76140 |
Please comment or provide details below to improve the information on FRONTIER MEDICAL HOUSE CALL SERVICE LLC.
| 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.