NPIMap

Organization Active NPI

County of Tarrant

  • Public Health or Welfare Agency
  • Fort Worth, TX
National Provider Identifier
1194783183
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF TARRANT
Practice address
1101 S Main Street
Fort Worth, TX 76104
Phone
(817) 321-4700
Fax
(817) 850-5845
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Dr. Catherine A Colquitt, M.D.NPI 1275533846
Title
Medical Director
Phone
(817) 321-5344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
Public Health or Welfare Agency 251K00000X Primary
Clinical Medical Laboratory 291U00000X 45D0659873 TX

Addresses

Primary practice location

1101 S Main Street
Fort Worth, TX 76104

Mailing address

1101 S Main St # 2106
Fort Worth, TX 76104-4802
Phone (817) 321-4700

Other identifiers 2

IdentifierTypeStateIssuer
083149703MedicaidTX
083149704MedicaidTX

Other names 1

  • Tarrant County Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20041117000915 TX Part B Supplier - Clinic/Group Practice 1456315571 Receives reassigned benefits from 8 practitioners
5 other NPIs on this enrollment
Practice locations: Arlington, TX; Fort Worth, TX
O20081023000723 TX Part B Supplier - Mass Immunization (Roster Biller Only) 1456315571 2 other NPIs on this enrollment
Practice locations: Fort Worth, TX
O20161202000377 TX Part B Supplier - Independent Clinical Laboratory 1456315571 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Worth, TX; Arlington, TX

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

536 W Randol Mill Rd
Arlington, TX 76011
Phone (817) 321-4716

2596 E Arkansas Ln
Arlington, TX 76014

1101 S Main St
Rm 1200
Fort Worth, TX 76104

100 E Weatherford St
Ste 506
Fort Worth, TX 76196

1101 S Main St
#2400
Fort Worth, TX 76104
Phone (817) 321-4992

1101 S Main St
Ste 1500C
Fort Worth, TX 76104

1101 S Main St
#2106
Fort Worth, TX 76104

1101 S Main St
Ste 1700
Fort Worth, TX 76104
Phone (817) 321-4750

1101 S Main St
#2425
Ft Worth, TX 76104
Phone (817) 321-4992

1101 S Main St
Ste 1600
Ft Worth, TX 76104
Phone (817) 321-4900

1101 S Main St
Ste 2400
Ft Worth, TX 76104

3800 Adam Grubb
Ste 400
Lake Worth, TX 76135
Phone (817) 238-4441

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1194783183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST # 2106",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044802",
            "telephone_number": "817-321-4700",
            "fax_number": "817-850-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S MAIN STREET",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-321-4700",
            "fax_number": "817-850-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TARRANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "COLQUITT",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-321-5344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0659873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083149703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083149704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarrant County Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tarrant County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.