NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER INC. (NPI# 1790284552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790284552 |
Entity Type | Organization |
Organization Name | NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER INC. |
Other Organization Name | PEDIATRIC ASSOCIATES |
Practice Address |
4420 Kimbell Dr Wichita Falls TX 76302-3006 |
Mailing Address |
200 Martin Luther King Blvd Wichita Falls TX 76301-1152 |
Practice Telephone | 9407666306 |
Mailing Telephone | 9407666306 |
Enumeration Date | 2018-02-07 |
Last Update Date | 2020-04-06 |
Authorized Official Name | ALLEN PATTERSON (CEO) |
Authorized Official Telephone | 9407666306 |
Is Organization Subpart | N |
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 Name | Type Code |
---|---|
NCTCHCC-Kimbell | Doing Business As Name - Organization |
Pediatric Associates | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063036515 | North Central Texas Community Health Care Center Inc. | Clinic/Center | 4105 Maplewood Ave Ste 1000, Wichita Falls, TX 76308-2915 | 2020-06-01 |
1568093037 | North Central Texas Community Health Care Center Inc. | Clinic/Center | 2412 Avenue H, Wichita Falls, TX 76309 | 2020-02-03 |
Street Address |
4420 KIMBELL DR |
City | WICHITA FALLS |
State | TX |
Zip Code | 76302-3006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386245439 | Bryana Nicole Lange | Nurse Practitioner | 4420 Kimbell Dr, Wichita Falls, TX 76302-3006 | 2020-11-05 |
1962978460 | Lane A Anderson | Nurse Practitioner | 4420 Kimbell Dr, Wichita Falls, TX 76302-3006 | 2018-10-23 |
1538644281 | Nicole Renee Kaufhold | Nurse Practitioner | 4420 Kimbell Dr, Wichita Falls, TX 76302-3006 | 2018-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114564085 | Micah Boyer Md | Family Medicine | Encompass Health Rehabilitation Hospital, 3901 Armory Rd, Wichita Falls, TX 76302 | 2019-12-10 |
1144881558 | Melinda Kaye Lentz | Speech-Language Pathologist | 4309 Old Jacksboro Hwy, St 101, Wichita Falls, TX 76302 | 2019-06-26 |
1114408549 | Kiran Sahni | Occupational Therapist | Senior Care Health and Rehabilitation Center, 910 Midwestern Parkway, Wichita Falls, TX 76302 | 2018-08-23 |
1649771684 | Keana Kadisha Huizar-figueroa | Licensed Vocational Nurse | 1501 Archer City Hwy Apt 1504, Wichita Falls, TX 76302 | 2018-02-26 |
1295249043 | Shelley Renae Crampton | Counselor | 1420 Twin Oaks, Wichita Falls, TX 76302 | 2017-11-30 |
1225154784 | Assisted Living Concepts Inc | Assisted Living Facility | 1525 Archer City Highway, Wichita Falls, TX 76302 | 2007-03-22 |
1730262130 | Arti Patel | Internal Medicine | 3901 Armory Road, Health South Rehabilitation Hospital of Wichita Falls, Wichita Falls, TX 76302 | 2006-10-23 |
1093808842 | Rajesh Atluri, Md | Internal Medicine | 1619 Midwestern Parkway, Wichita Falls, TX 76302 | 2006-10-02 |
1326054644 | Hung Ba Nguyen | Radiology | 501 Midwestern Parkway East, Wichita Falls, TX 76302 | 2006-07-31 |
1689648339 | Cms Rehab of Wf Lp | Rehabilitation Hospital | 3901 Armory Rd, Wichita Falls, TX 76302 | 2006-02-16 |
Find all providers in zip 76302 |
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 |
---|---|---|---|---|
1063036515 | North Central Texas Community Health Care Center Inc. | Clinic/Center | 4105 Maplewood Ave Ste 1000, Wichita Falls, TX 76308-2915 | 2020-06-01 |
1568093037 | North Central Texas Community Health Care Center Inc. | Clinic/Center | 2412 Avenue H, Wichita Falls, TX 76309 | 2020-02-03 |
1083045454 | North Central Texas Community Health Care Center Inc | Clinic/Center | 110 Lee Street, Wichita Falls, TX 76301-1152 | 2013-12-10 |
1295064194 | North Central Texas Community Health Care Center | Clinic/Center | 1000 Juarez St Bldg A, Wichita Falls, TX 76301-6905 | 2009-12-24 |
1245843432 | North Central Texas Community Health Care Center, Inc | Clinic/Center | 804 Denver St, Wichita Falls, TX 76301-4139 | 2020-08-26 |
1407308828 | North Central Texas Community Health Care Center, Inc | Clinic/Center | 1301 3rd St, Wichita Falls, TX 76301-2245 | 2016-11-02 |
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1598366718 | East Texas Border Health Clinic | Clinic/Center | 1411 College Dr, Texarkana, TX 75503-3533 | 2020-11-04 |
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 |
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 | WICHITA FALLS |
Zip Code | 76302 |
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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.