GOSHEN FAMILY CLINIC, INC.


Address: 5225 Hunters Ridge Rd, # 715, Fort Worth, TX 76132-1853
Phone: 3189901361

GOSHEN FAMILY CLINIC, INC. (NPI# 1821594045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821594045
Entity Type Organization
Organization Name GOSHEN FAMILY CLINIC, INC.
Practice Address 5225 Hunters Ridge Rd, # 715
Fort Worth
TX 76132-1853
Mailing Address Po Box 33437
Fort Worth
TX 76162-3437
Practice Telephone 3189901361
Mailing Telephone 8176121551
Enumeration Date 2018-04-05
Last Update Date 2019-03-18
Authorized Official Name RHODA STEVENS (NURSE PRACTITIONER)
Authorized Official Telephone 8176121551
Authorized Official Credential FNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 5225 HUNTERS RIDGE RD, # 715
City FORT WORTH
State TX
Zip Code 76132-1853

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

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Competitor

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City FORT WORTH
Zip Code 76132

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Dataset Information

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.

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