Community Health Clinics of Northeast Texas

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COMMUNITY HEALTH CLINICS OF NORTHEAST TEXAS

Doing business as

Total Healthcare Center

Practice address

928 N Glenwood Blvd
Tyler, TX 75702-5055

Phone

(903) 526-4900

Fax

(903) 526-4907

NPI assigned

Nov 9, 2007

Last updated

Jun 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bryan F Wilder

Title

Cfo

Phone

(903) 533-7400

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Total Healthcare Center Doing business as

Tax ID family

Community Health Clinics of Northeast Texas3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Community Health Clinic of Northeast Texas

  dba St. Paul's Mobile Clinic

  • Federally Qualified Health Center (FQHC)
  • Tyler, TX
  • NPI 1265613285
  NPD tax ID
• Community Health Clinics of Northeast Texas

  dba Total Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Tyler, TX
  • NPI 1528249547
  NPD tax ID

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1275713976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 N GLENWOOD BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025055",
            "telephone_number": "903-533-7400",
            "fax_number": "903-533-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 N GLENWOOD BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025055",
            "telephone_number": "903-526-4900",
            "fax_number": "903-526-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CLINICS OF NORTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-533-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "1383606-17",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Combined Medical Rehab Partners, LP
• Dennis Roynald Combs, PH.D.
• Natalye Combs, MSN, APRN, FNP-C
• Community Access, Inc
• Community Health Clinic of Northeast Texas (St. Paul's Mobile Clinic)
• Community Health Clinics of Northeast Texas (Total Healthcare Center)
• Community Health Clinics of Northeast Texas (Total Healthcare Center)
• Community Health Clinics of Northeast Texas (Total Healthcare Center)
• Compass Chiropractic PLLC
• Compass Hospice of East Texas LLC

• Federally Qualified Health Center (FQHC) in Tyler, TX
• Providers in Tyler, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.