| Jps Health Network | |
|
1500 S Main St Fort Worth TX 76104-4917 | |
| (817) 927-1232 | |
| (817) 920-6908 |
| Full Name | Jps Health Network |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1500 S Main St, Fort Worth, Texas |
| Authorized Official Name and Position | Uneca Johnson (REIMBURSEMENT DIRECTOR) |
| Authorized Official Contact | 8177026272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jps Health Network 1500 S Main St Fort Worth TX 76104-4917 Ph: (817) 927-1232 | Jps Health Network 1500 S Main St Fort Worth TX 76104-4917 Ph: (817) 927-1232 |
| NPI Number | 1538193073 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 5294623252 |
|---|---|
| Medicare Enrollment ID | O20061023000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538193073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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