FOREST PARK MECIAL CENTER AT FORT WORTH, LLC (NPI# 1831515550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831515550 |
| Entity Type | Organization |
| Organization Name | FOREST PARK MECIAL CENTER AT FORT WORTH, LLC |
| Practice Address |
5400 Clearfork Main St Fort Worth TX 76107 |
| Mailing Address |
5400 Clearfork Main St Fort Worth TX 76017 |
| Practice Telephone | 8177318585 |
| Mailing Telephone | 8177318585 |
| Mailing Fax Number | 8177318586 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | JAMES DAVIS (CEO) |
| Authorized Official Telephone | 8177318585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Street Address |
5400 CLEARFORK MAIN ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629475074 | Sherry Yaft | Pharmacist | 5400 Clearfork Main St, Fort Worth, TX 76109-3500 | 2014-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972950418 | Angela Ehlen | General Acute Care Hospital | 517 Stone Crossing Ln, Fort Worth, TX 76140-7503 | 2016-05-14 |
| 1407229529 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2015-11-11 |
| 1275884165 | Federal Bureau of Prisons | General Acute Care Hospital | J Street, Bldg 3000, Fmc Carswell, Fort Worth, TX 76127-7066 | 2012-10-02 |
| 1568656502 | Usmd Hospital At Fort Worth, L.p. | General Acute Care Hospital | 5900 Dirks Rd, Fort Worth, TX 76132-5473 | 2007-09-04 |
| 1871599183 | Fort Worth Surgicare Partners, Ltd. | General Acute Care Hospital | 1800 Park Place Ave, Fort Worth, TX 76110-1302 | 2005-06-22 |
| 1427682137 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2020-03-03 |
| 1003208091 | Victory Medical Center Fort Worth, Lp | General Acute Care Hospital | 600 South Main, Fort Worth, TX 76104 | 2015-02-27 |
| 1649681412 | John Peter Smith Hospital | General Acute Care Hospital | 1500 S Main St, Fort Worth, TX 76104-4917 | 2014-05-15 |
| 1871911016 | North Texas - Mca LLC | General Acute Care Hospital | 3101 N Tarrant Pkwy, Fort Worth, TX 76177-8601 | 2014-04-04 |
| 1952739179 | Fort Worth Surgicare Partners, Ltd | General Acute Care Hospital | 750 12th Ave, Fort Worth, TX 76104-2517 | 2013-10-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on FOREST PARK MECIAL CENTER AT FORT WORTH, 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.