| North Texas Area Community Health Centers, Inc. | |
|
2332 Beverly Hills Dr Fort Worth TX 76114-1756 | |
| (817) 625-4254 | |
| (817) 740-8612 |
| Full Name | North Texas Area Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2332 Beverly Hills Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Gerrie Whitaker (CEO) |
| Authorized Official Contact | 8176254254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Area Community Health Centers, Inc. 2332 Beverly Hills Dr Fort Worth TX 76114 Ph: (817) 625-4254 | North Texas Area Community Health Centers, Inc. 2332 Beverly Hills Dr Fort Worth TX 76114-1756 Ph: (817) 625-4254 |
| NPI Number | 1568420800 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 10/28/2024 |
| Medicare PECOS PAC ID | 9931124450 |
|---|---|
| Medicare Enrollment ID | O20051013000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568420800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
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