Organization Active NPI

Health Services of North Texas, Inc.

  • Federally Qualified Health Center (FQHC)
  • Denton, TX
National Provider Identifier
1063916799
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
306 N Loop 288 Ste 200
Denton, TX 76209-4958
Phone
(940) 381-1501
Fax
(940) 591-7830
NPI assigned
Mar 19, 2018
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

306 N Loop 288 Ste 200
Denton, TX 76209-4958

Mailing address

4401 N Interstate 35 Unit 312
Denton, TX 76207-3318
Phone (940) 381-1501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190829002891 TX Part A Provider - Federally Qualified Health Center (FQHC) 0244211852 Practice locations: Denton, TX

Federally qualified health center certification: CCN 451075

Legal name
HEALTH SERVICES OF NORTH TEXAS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 28, 2019
Last certification
Aug 28, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 28, 1988 in TX
Enrollment address
306 N Loop 288
Ste 200
Denton, TX 76209-4958

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.

Locations

4304 Mesa Dr
Denton, TX 76207
Phone (502) 724-6044

306 N Loop 288
Ste 201
Denton, TX 76209

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Eric W Scwarz Individual Corporate DirectorBoard Member Apr 1, 2023
Sara J Schroeder Individual Corporate DirectorBoard Vice President Apr 1, 2020
Kimberly Middleton Individual Corporate DirectorBoard Member Jul 1, 2021
Sadaf Haq Individual Corporate DirectorBoard Member Apr 1, 2022
Luther L Brown Individual Corporate DirectorBoard Treasurer Apr 1, 2020
Michael Foster Individual Corporate DirectorBoard Past President Mar 1, 2016
Dale R. Tampke Individual Corporate DirectorBoard President Apr 1, 2019
Magdaline N Ewoko Individual Corporate DirectorBoard Member Apr 1, 2023
James a Henderson Individual Corporate DirectorBoard Secretary Apr 1, 2018
Ryan Gehrke Individual Corporate DirectorBoard Member May 1, 2024
Makinzie R Heard Individual Corporate DirectorBoard Member Apr 1, 2023
Pamela Barnes Individual Corporate OfficerCfo Feb 1, 1994
Corporate DirectorBoard Member Feb 1, 1994
Debra Layman Individual Corporate OfficerCoo Nov 14, 2016
W-2 Managing EmployeeCoo Nov 14, 2016
Belinda K Hernandez Individual Corporate DirectorBoard Member Jul 1, 2021
Janylle K Koren Individual Corporate DirectorBoard Member Oct 1, 2023
Doreen Rue Individual Corporate OfficerCeo Apr 1, 1997
Corporate DirectorCeo May 1, 2013
W-2 Managing EmployeeCeo Apr 1, 1997
Mohammed H Husain Individual Corporate DirectorBoard Member Oct 1, 2023
Leland C Oliver Individual Corporate DirectorBoard Member May 1, 2021

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 7

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": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1063916799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N INTERSTATE 35 UNIT 312",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073318",
            "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": "306 N LOOP 288 STE 200",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762094958",
            "telephone_number": "940-381-1501",
            "fax_number": "940-591-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES OF NORTH TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.