NPIMap

Organization Active NPI

Health Services of North Texas, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wylie, TX
National Provider Identifier
1013326412
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH SERVICES OF NORTH TEXAS, INC.
Practice address
303 S Highway 78 Ste 106
Wylie, TX 75098-3915
Phone
(940) 381-1501
Fax
(972) 801-9015
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anna Navarro Contreras
Title
Senior Practice Administrator
Phone
(940) 435-9044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

303 S Highway 78 Ste 106
Wylie, TX 75098-3915

Mailing address

4401 N Interstate 35
Suite 312
Denton, TX 76207-3432
Phone (940) 381-1501

Other identifiers 1

IdentifierTypeStateIssuer
339779601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141017000370 TX Part A Provider - Federally Qualified Health Center (FQHC) 0244211852 Practice locations: Wylie, TX

Federally qualified health center certification: CCN 741869

Legal name
HEALTH SERVICES OF NORTH TEXAS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 16, 2014
Last certification
Oct 16, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 29, 1988 in TX
Enrollment address
303 S Highway 78
Ste 106
Wylie, TX 75098-3915

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Health Services of North Texas Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Howard a Shaw Individual Corporate DirectorBoard Member Apr 20, 2022
Sara J Schroeder Individual Corporate DirectorVice President Apr 20, 2022
Kimberly Middleton Individual Corporate DirectorBoard Member Apr 20, 2022
Melissa a Winans Individual Corporate DirectorBoard Member Apr 20, 2022
Anna N Contreras Individual W-2 Managing EmployeeSenior Practice Administrator May 11, 2009
Luther L Brown Individual Corporate DirectorTreasurer Apr 20, 2022
Michael Foster Individual Corporate DirectorDirector Apr 20, 2022
Dale R. Tampke Individual Corporate DirectorPresident Apr 20, 2022
James a Henderson Individual Corporate DirectorSecretary Apr 20, 2022
Pamela Barnes Individual Corporate OfficerChief Financial Officer Feb 1, 1994 33%
Belinda K Hernandez Individual Corporate DirectorBoard Member Apr 20, 2022
Doreen Rue Individual Corporate OfficerChief Executive Officer Apr 1, 1997 34%
W-2 Managing EmployeeChief Executive Officer Apr 1, 1997 100%
Mohammed H Husain Individual Corporate DirectorBoard Member Apr 20, 2022
Leland C Oliver Individual Corporate DirectorBoard Member Apr 20, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1013326412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N INTERSTATE 35",
            "address_2": "SUITE 312",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073432",
            "telephone_number": "940-381-1501",
            "fax_number": "940-566-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S HIGHWAY 78 STE 106",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983915",
            "telephone_number": "940-381-1501",
            "fax_number": "972-801-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES OF NORTH TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "NAVARRO",
        "authorized_official_title_or_position": "SENIOR PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "940-435-9044"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339779601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.