Active NPI
County of Tarrant
Doing business as Tarrant County Public Health
- Public Health or Welfare Agency
- Fort Worth, TX
National Provider Identifier
1245413475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF TARRANT
- Doing business as
- Tarrant County Public Health
- Practice address
- 1101 S Main St
Suite 2106
Fort Worth, TX 76104-4802 - Phone
- (817) 321-4700
- Fax
- (817) 850-5845
- NPI assigned
- Dec 11, 2007
- Last updated
- May 3, 2017
- Organization subpart
- No
NPPES NPI Registry
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.
- Title
- Medical Director
- Phone
- (817) 321-4816
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary | |
| Community Health Worker | 172V00000X | NU |
Addresses
Primary practice location
1101 S Main St
Suite 2106
Fort Worth, TX 76104-4802
Mailing address
1101 S Main St
Suite 2106
Fort Worth, TX 76104-4802
Phone (817) 321-4700
Other names 1
- Tarrant County Public Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081023000723 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 1456315571 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fort Worth, TX |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Tarrant County Public Health
- Public Health or Welfare Agency
- Fort Worth, TX
- NPI 1194783183
O20081023000723
-
dba Tarrant County Public Health
- Public Health or Welfare Agency
- Fort Worth, TX
- NPI 1619265121
O20081023000723
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493769600000",
"number": "1245413475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S MAIN ST",
"address_2": "SUITE 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 ST",
"address_2": "SUITE 2106",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044802",
"telephone_number": "817-321-4700",
"fax_number": "817-850-5845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF TARRANT",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-11",
"last_updated": "2017-05-03",
"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": "817-321-4816",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"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 May 3, 2017; 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.