FOURTH WARD CLINIC (NPI# 1730472002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730472002 |
| Entity Type | Organization |
| Organization Name | FOURTH WARD CLINIC |
| Other Organization Name | GOOD NEIGHBOR HEALTHCARE CENTER |
| Practice Address |
8504 Schuller Rd Houston TX 77093 |
| Mailing Address |
190 Heights Blvd Houston TX 77007 |
| Practice Telephone | 7133877171 |
| Practice Fax Number | 7133877189 |
| Mailing Telephone | 7135293597 |
| Mailing Fax Number | 7135299169 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |
| Authorized Official Name | JANET S. DONATH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7135293597 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOOD NEIGHBOR - NORTH (SATELLITE) |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | TX | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | FQHC MEDICARE | 67-1829 | 01 |
| TX | MEDICARE PTAN | TXB106000 | 01 |
| TX | FQHC MEDICAID | 126821105 | 01 |
| Other Name | Type Code |
|---|---|
| Good Neighbor Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376098509 | Fourth Ward Clinic | Clinic/Center | 7777 Westgreen Blvd, Cypress, TX 77433-0190 | 2016-08-17 |
| 1407981913 | Fourth Ward Clinic | Midwife | 277 W Gray St, Houston, TX 77019-5419 | 2007-02-23 |
| 1417082926 | Fourth Ward Clinic | Midwife | 277 W Gray St, Houston, TX 77019-5419 | 2007-02-23 |
| 1588779276 | Fourth Ward Clinic | Clinic/Center | 190 Heights Blvd, Houston, TX 77007-3729 | 2006-08-20 |
| Street Address |
8504 SCHULLER RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790136935 | Christopher Liao | Nurse Practitioner | 8504 Schuller Rd, Houston, TX 77093-7514 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801453501 | Burns Counseling Group, Pllc | Counselor | 4706 East Mount Houston Rd, Houston, TX 77093 | 2019-05-29 |
| 1306332150 | Jessica Lizette Sosa | Dentist | 3301 Tildwell Rd, Houston, TX 77093 | 2018-07-05 |
| 1851883169 | Anna Marie Graham Vii | Home Health | 2402 Mann, Houston, TX 77093 | 2018-06-01 |
| 1679076848 | Northside Health Center | Dentist | 8504 Schuller, Houston, TX 77093 | 2018-03-14 |
| 1598113532 | Matthews Transportation, LLC | Non-emergency Medical Transport (VAN) | 2002 Eubanks St, Houston, TX 77093 | 2016-06-01 |
| 1518308535 | Reena's Delightful Care | Health Maintenance Organization | 7426 1/2 Curry Rd, Houston, TX 77093 | 2013-07-08 |
| 1104944131 | Roxanne Corello | Nurse Practitioner | 8523 Arkansas St, Houston, TX 77093 | 2007-03-27 |
| 1689719080 | Richard Kenneth Donelson | General Practice | 8523 Arkansas, Houston, TX 77093 | 2007-02-21 |
| 1144365859 | David Wayne Block | Dentist | 8504 Schulle, Houston, TX 77093 | 2007-02-20 |
| 1215072939 | City of Houston | Clinic/Center | Northside Health Center 8523 Arkansas St, Houston, TX 77093 | 2007-02-20 |
| Find all providers in zip 77093 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043689 | Legacy Community Health Services, Inc. | Clinic/Center | 1900 Strawn Rd., Houston, TX 77039-2017 | 2020-11-03 |
| 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 |
| 1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
| 1962013151 | Legacy Community Health Services, Inc | Clinic/Center | 353 Castlegory Dr., Houston, TX 77049-1739 | 2020-08-12 |
| 1992315501 | Legacy Community Health Services, Inc. | Clinic/Center | 13350 Woodforest Blvd, Houston, TX 77015-2826 | 2020-08-07 |
| 1801444039 | Houston Community Health Centers, Inc | Clinic/Center | 215 Rittenhouse St, Houston, TX 77076-1709 | 2019-08-30 |
| 1275198509 | Asian American Health Coalition of The Greater Houston Area | Clinic/Center | 3000 Aldine Mail Route Rd, Building C, Ste 200, Houston, TX 77039 | 2019-05-02 |
| 1952868143 | Bee Busy Wellness Center | Clinic/Center | 1300 Bay Area Blvd # 200, Houston, TX 77058-2505 | 2019-02-25 |
| 1902373061 | Houston Community Health Centers, Inc | Clinic/Center | 1800 Mccarty St, Houston, TX 77029-3761 | 2018-10-26 |
| Find all providers in HOUSTON | ||||
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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.