Organization Active NPI

City of Wichita Falls

  • State or Local Public Health Clinic/Center
  • Wichita Falls, TX
National Provider Identifier
1255415188
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
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

Updated by the provider on May 9, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1364101-06MedicaidTX
1364101-04MedicaidTX
1364101-07MedicaidTX
1364101-08MedicaidTX

Other names 2

  • Wichita Falls-Wichita County Public Health District Doing business as
  • Wichita Falls/Wichita County Public Health District Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080723000154 TX Part B Supplier - Clinic/Group Practice 0446323521 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita Falls, TX

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.