Aids Outreach Center in Fort Worth - Community/behavioral Health
Aids Outreach Center - NPI 1285761999
Aids Outreach Center is a Community/behavioral Health in Fort Worth, Texas. Aids Outreach Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Aids Outreach Center is 1285761999. The last update date is 2015-03-30.
Aids Outreach Center's current location address is 400 North Beach Street, Fort Worth, Texas. You can contact this provider via phone number 8173351994 and fax number 8173353617. The mailing address for Aids Outreach Center is 400 North Beach Street, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aids Outreach Center |
|---|---|
| Address | 400 North Beach Street, Fort Worth, Texas |
| Phone Number | 8173351994 |
| Fax Number | 8173353617 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSOCIATE |
|---|---|
| Authorized Official Name | Le Roy Mellisand |
| Telephone Number | 8173351994 |
NPI Number Detail
| NPI Number | 1285761999 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2015-03-30 |
Provider Mailing Address Detail
| Address | 400 North Beach Street |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 76111 |
| Phone Number | 8173351994 |
| Fax Number | 8173353617 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109329601 | TX | -- | |
| 109329602 | TX | -- | |
| TXB112740 | TX | MEDICARE PTAN |
Post Comment/ Review Below
What is the Aids Outreach Center's 1285761999?
The Aids Outreach Center's NPI (National Provider Identifier) Number is 1285761999. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Aids Outreach Center is physically located?
The Aids Outreach Center is physically situated at the following address: 400 North Beach Street, Fort Worth, TX, 76111.
What is Aids Outreach Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Aids Outreach Center is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
On what date did the Aids Outreach Center receive its 1285761999 assignment from the Centers for Medicare & Medicaid Services?
The Aids Outreach Center was assigned its 1285761999 by the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the information regarding Aids Outreach Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Aids Outreach Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-03-30.
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