COOK CHILDREN'S MEDICAL CENTER (NPI# 1760452080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760452080 |
| Entity Type | Organization |
| Organization Name | COOK CHILDREN'S MEDICAL CENTER |
| Practice Address |
1500 Cooper St Fl 1 Fort Worth TX 76104-2710 |
| Mailing Address |
Po Box 99213 Fort Worth TX 76199-0213 |
| Practice Telephone | 6828853944 |
| Practice Fax Number | 6828857883 |
| Mailing Telephone | 6828851860 |
| Mailing Fax Number | 6828851396 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2018-02-21 |
| Authorized Official Name | STEPHEN W KIMMEL (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6828857663 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOK CHILDREN'S MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
110129 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 112731803 | 05 | |
| TX | 112731805 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104383983 | Cook Children's Medical Center | Clinic/Center | 4300 W University Dr, Prosper, TX 75078-9806 | 2019-02-27 |
| 1326548280 | Cook Children's Medical Center | Pediatrics | 6316 Precinct Line Rd Ste A, Hurst, TX 76054-2766 | 2018-02-17 |
| 1942509963 | Cook Children's Medical Center | Psychologist | 901 7th Ave Ste 2100, Fort Worth, TX 76104-2722 | 2011-03-16 |
| 1215907530 | Cook Children's Medical Center | Ambulance | 124 Texas Way, Fort Worth, TX 76106-2773 | 2006-01-26 |
| 1316409105 | Cook Children's Medical Center | Clinic/Center | 13340 Highland Hills Dr, Aledo, TX 76008 | 2019-04-02 |
| 1609338490 | Cook Children's Medical Center | Pediatrics | 13340 Highland Hills Dr, Aledo, TX 76008 | 2019-04-02 |
| 1003373887 | Cook Children's Medical Center | Pediatrics | 4300 W University Dr, Prosper, TX 75078-9806 | 2019-02-27 |
| 1114427911 | Cook Children's Medical Center | Clinic/Center | 6316 Precinct Line Rd Ste A, Hurst, TX 76054-2766 | 2018-02-19 |
| 1538669916 | Cook Children's Medical Center | Pediatrics | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2018-02-13 |
| 1093215477 | Cook Children's Medical Center | Clinic/Center | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2018-02-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COOK CHILDREN'S MEDICAL CENTER | 801 7th Ave, Fort Worth, TX 76104-2733 |
| Street Address |
1500 COOPER ST FL 1 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1184024770 | Kerricher Dialysis, LLC | Clinic/Center | 2400 Lands End Blvd, Ste 131, Fort Worth, TX 76116-2170 | 2014-09-02 |
| 1659771624 | Headlands Dialysis, LLC | Clinic/Center | 5832 S Hulen St, Fort Worth, TX 76132-2684 | 2014-08-27 |
| 1235538299 | Hugo Dialysis, LLC | Clinic/Center | 11000 Old Denton Rd, Fort Worth, TX 76244-5407 | 2014-08-15 |
| 1184030751 | Manchester Dialysis, LLC | Clinic/Center | 3845 E Loop 820 S, Fort Worth, TX 76119-4337 | 2014-07-03 |
| 1528480837 | Usrc Bryant Irvin, LLC | Clinic/Center | 5729 Bryant Irvin Rd, Fort Worth, TX 76132 | 2014-01-07 |
| 1730517541 | North Arlington Dialysis Center LLC | Clinic/Center | 1451 Eastchase Pkwy, Fort Worth, TX 76120-4403 | 2013-10-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on COOK CHILDREN'S MEDICAL CENTER.
| 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.