Active NPI
City of Wichita Falls
- State or Local Public Health Clinic/Center
- Wichita Falls, TX
National Provider Identifier
1255415188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- CITY OF WICHITA FALLS
- Practice address
- 1700 3Rd St
Wichita Falls, TX 76301-2113 - Phone
- (940) 761-7805
- Fax
- (940) 767-5242
- NPI assigned
- Oct 25, 2006
- 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
- Amy Fagan
- Title
- Director of Health
- Phone
- (940) 761-7805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | Primary |
Addresses
Primary practice location
1700 3Rd St
Wichita Falls, TX 76301-2113
Mailing address
1700 3Rd St
Wichita Falls, TX 76301-2113
Phone (940) 761-7805
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1364101-06 | Medicaid | TX | |
| 1364101-04 | Medicaid | TX | |
| 1364101-07 | Medicaid | TX | |
| 1364101-08 | Medicaid | TX |
Other names 2
- Wichita Falls-Wichita County Public Health District
- Wichita Falls/Wichita County Public Health District
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1700 3rd St
Wichita Falls, TX 76301
Phone (940) 761-7800
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Wichita Falls, TX
- NPI 1558327502
-
- Family Medicine Physician
- Wichita Falls, TX
- NPI 1356350193
-
- Peer Specialist
- Lawton, OK
- NPI 1710518899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1255415188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 3RD ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763012113",
"telephone_number": "940-761-7805",
"fax_number": "940-767-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 3RD ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763012113",
"telephone_number": "940-761-7805",
"fax_number": "940-767-5242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF WICHITA FALLS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2024-05-09",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "FAGAN",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "DIRECTOR OF HEALTH",
"authorized_official_telephone_number": "940-761-7805"
},
"taxonomies": [
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1364101-06",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1364101-04",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1364101-07",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1364101-08",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wichita Falls-Wichita County Public Health District",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wichita Falls/Wichita County Public Health District",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wichita Falls/Wichita County Public Health District",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita Falls, TX
- Christ Counseling Ministry Inc
- Christian Family House Calls, LLC
- Allyssonn Spring Christy, LVN
- Etem Tabogho Chu, M.D
- Benjamin Andrew Church
- City View Independent School District
- Ckoetter Company, LLC
- Clark Colville and Kelly Heetland Specialty Partners of Texas PLLC
- Heather Clark, MD
- Melissa Clark, LVN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.