Fort Worth Northside Community Health Center in Fort Worth - Voluntary Or Charitable
Fort Worth Northside Community Health Center - NPI 1730182585
Fort Worth Northside Community Health Center is a Voluntary Or Charitable in Fort Worth, Texas. Fort Worth Northside Community Health Center practices all healthcare services and medical treatments related to Voluntary Or Charitable. The NPI Number for Fort Worth Northside Community Health Center is 1730182585. The last update date is 2020-08-22.
Fort Worth Northside Community Health Center's current location address is 2106 N. Main, Fort Worth, Texas. You can contact this provider via phone number 8176254254. The mailing address for Fort Worth Northside Community Health Center is 2106 N. Main, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fort Worth Northside Community Health Center |
|---|---|
| Address | 2106 N. Main, Fort Worth, Texas |
| Phone Number | 8176254254 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Herrera L. Eddy |
| Credentials | MSSW |
| Telephone Number | 8173780855 |
NPI Number Detail
| NPI Number | 1730182585 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2106 N. Main |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 7610685700 |
| Phone Number | 8176254254 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Voluntary Or Charitable |
|---|---|
| Taxonomy | 251V00000X |
|
Definition: Nonprofit health or human services agency supported by charitable donations and volunteers. |
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What is the Fort Worth Northside Community Health Center's unique identification number?
The Fort Worth Northside Community Health Center has been assigned the NPI (National Provider Identifier) Number 1730182585 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Fort Worth Northside Community Health Center?
The Fort Worth Northside Community Health Center is situated at 2106 N. Main, in the city of Fort Worth, state of TX, with the zip code 7610685700.
What is Fort Worth Northside Community Health Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fort Worth Northside Community Health Center is Voluntary Or Charitable, and the taxonomy classification code that categorizes this area of expertise is 251V00000X.
On what date did Fort Worth Northside Community Health Center receive its 1730182585 assignment from the Centers for Medicare & Medicaid Services?
The Fort Worth Northside Community Health Center was assigned its 1730182585 on 2005-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Fort Worth Northside Community Health Center most recently updated or revised?
The details related to Fort Worth Northside Community Health Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.