NPIMap

Organization Active NPI

Health Services of North Texas, Inc.

  • Federally Qualified Health Center (FQHC)
  • Denton, TX
National Provider Identifier
1124538442
Registry record updated Dec 3, 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
4304 Mesa Dr
Denton, TX 76207-3434
Phone
(940) 381-1501
Fax
(940) 591-7830
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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

4304 Mesa Dr
Denton, TX 76207-3434

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3774838201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121004000182 TX Part A Provider - Federally Qualified Health Center (FQHC) 0244211852 1 other NPI on this enrollment
Practice locations: Denton, TX

Federally qualified health center certification: CCN 741980

Legal name
HEALTH SERVICES OF NORTH TEXAS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 8, 2017
Last certification
Nov 8, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 29, 1988 in TX
Enrollment address
4304 Mesa Dr
Denton, TX 76207-3434

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

Locations

3506 Texas St
Greenville, TX 75401
Phone (903) 450-4018

1316 14th St
Plano, TX 75074
Phone (972) 424-1480

2540 K Ave
Ste 500
Plano, TX 75074
Phone (972) 424-1480

Ownership & related parties

All disclosed owners & managing parties 17

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 OfficerBoard Member Apr 1, 2023
Sara J Schroeder Individual Corporate OfficerBoard Member Apr 1, 2020
Kimberly Middleton Individual Corporate OfficerBoard Member Jul 1, 2021
Sadaf Haq Individual Corporate OfficerBoard Member Apr 1, 2022
Luther L Brown Individual Corporate OfficerTreasurer Apr 1, 2020
Michael Foster Individual Corporate OfficerPast President Mar 1, 2016
Dale R. Tampke Individual Corporate OfficerBoard Member Apr 1, 2017
Magdaline N Ewoko Individual Corporate OfficerBoard Member Apr 1, 2023
James a Henderson Individual Corporate OfficerBoard Member Apr 1, 2018
Ryan Gehrke Individual Corporate OfficerBoard Member May 1, 2024
Makinzie R Heard Individual Corporate OfficerBoard Member Apr 1, 2023
Pamela Barnes Individual Corporate OfficerCfo Feb 1, 1994
Corporate DirectorBoard Member Feb 1, 1994
Operational/Managerial ControlChief Financial Officer Feb 1, 1994
Belinda K Hernandez Individual Corporate OfficerBoard Member Jul 1, 2021
Janylle K Koren Individual Corporate OfficerBoard Member Oct 1, 2023
Doreen Rue Individual Corporate OfficerCeo Apr 1, 1997
Corporate DirectorCeo Jan 1, 1997
W-2 Managing Employee Jan 1, 1997
Mohammed H Husain Individual Corporate OfficerBoard Member Dec 1, 2019
Leland C Oliver Individual Corporate OfficerBoard 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 11

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": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1124538442",
    "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": "4304 MESA DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073434",
            "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": "2017-10-02",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "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": "3774838201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.