NPIMap

Organization Active NPI

Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
National Provider Identifier
1336172105
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000235 Issued in TX
Legal business name
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
Practice address
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone
(817) 882-3770
Fax
(817) 882-3781
NPI assigned
Jul 7, 2006
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Jeff Mincher
Title
Senior VP Revenue Cycle
Phone
(682) 236-3013

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000235 TX
General Acute Care Hospital 282N00000X 000235 TX Primary

Addresses

Primary practice location

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122

Mailing address

PO Box 916063
Fort Worth, TX 76191-6063
Phone (800) 890-6034

Other identifiers 8

IdentifierTypeStateIssuer
003114OtherTXKIDNEY HEALTH
103874100OtherTXFIRSTCARE
450135B000000OtherTXSECTION 1011
HOHH004901OtherTXBCBS
HH0049OtherTXBLUE CROSS ACUTE
112677301OtherTXMEDICAID HASCO
112677302MedicaidTX
181895800OtherTXDEPT OF LABOR

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Gateway@Direct.TexasHealth.org Direct Texas Health Resources
FHIR URL https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/ Other Texas Health Resources

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080729000432 TX Part A Provider - Hospital 7214926013 Practice locations: Fort Worth, TX; Willow Park, TX; Burleson, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336172105. Details of each certification follow.

Hospital certification: CCN 450135

Legal name
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
Doing business as
TEXAS HEALTH FORT WORTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 14, 2025
Beds
764
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2002 in TX
Enrollment address
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Texas Health Harris Methodist Fort WorthCCN 450135 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Harris Meth FW Base Phy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 45

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ignacio T Nunez Individual Corporate DirectorTHR Board Jan 1, 2020
Deena McAllister Individual Corporate DirectorTHR Board Jan 1, 2019
Laura Irvine Individual Corporate OfficerSevp Chief Experience Officer Apr 11, 2022
Michael Guyton Individual Corporate DirectorTHR Board Jan 1, 2020
Kara Michelle Klement Individual Corporate DirectorTHR Board Jan 1, 2025
Jeffrey Wayne Mincher Individual Corporate OfficerSVP Revenue Cycle Jun 20, 2022
Corporate DirectorTHR Board Jun 20, 2022
Texas Health Resources Organization, Arlington, TX Non-profit 5% Or Greater Direct Ownership Interest Sep 4, 1997 100%
Shaun Clinton Individual Corporate OfficerSVP Supply Chain Mar 5, 2017
Christopher Harold Lane Individual Corporate OfficerChief Accounting Officer May 4, 2025
David Tesmer Individual Corporate DirectorTHR Board Jan 1, 2019
Paul Vincent Woolway Individual Corporate DirectorTHR Board Jan 1, 2025
Kenneth Ray Bernstein Individual Corporate DirectorTHR Board Jan 1, 2021
John D Mitchell Individual Corporate DirectorTHR Board Jan 1, 2019
Sheila Chhutani Individual Corporate DirectorEx Officio Jan 1, 2023
Jared Shelton Individual Corporate OfficerPresident Sep 22, 2024 100%
W-2 Managing EmployeePresident Sep 22, 2024 100%
Joshua Floren Individual Corporate OfficerSVP Hospital Channel Jun 5, 2022
Hunter L Hunt Individual Corporate OfficerTHR Board Jan 1, 2013
Ferdinand T Velasco Individual Corporate DirectorTHR Board Jan 1, 2019
Kathleen Cox Individual Corporate DirectorTHR Board Jan 1, 2019
Jon Zachary Scheele Individual Corporate OfficerSVP Business Devl & Growth Aug 26, 2024
Hari K Avula Individual Corporate DirectorTHR Board Jan 1, 2025
Rick E McWhorter Individual Corporate OfficerEvp Chief Financial Officer Dec 31, 2018
Corporate DirectorTHR Board Jan 1, 2018
Joseph Sudomir Individual Corporate OfficerSVP Chief Information Officer Jul 26, 2015
Lynn Montgomery Individual Corporate DirectorTHFW Board Jan 1, 2013
Robert Jones Individual Corporate OfficerSVP Treasurer & Chief Investment of Jan 1, 2020
Dhruvangkumar Arunchandra Modi Individual Corporate DirectorEx Officio, THR Board PLC Chair Jan 1, 2024
Rebekah Stewart Individual Corporate OfficerSVP & Chief Compliance Officer Jan 1, 2022
Corporate DirectorTHR Board Jan 1, 2022
Carla Dawson Individual Corporate OfficerVP Chief People Officer Jan 1, 2020
John E Whitely Individual Corporate DirectorTHR Board Jan 1, 2019
Brandon Pope Individual Corporate OfficerSVP Strategy & MKT Development Jan 1, 2024
James K King Individual Corporate OfficerHospital Channel Coo Sep 1, 2014
Jennifer Schroeder Individual Corporate OfficerSVP Deputy General Counsel Jan 1, 2024
Rebecca Tucker Individual Corporate DirectorTHR Board Jan 1, 2022
Gary Goldberg Individual Corporate OfficerSVP Risk Capabilities Jan 1, 2020
Kenneth Kramer Individual Corporate Director Dec 11, 2006
Susan L Weeks Individual Corporate DirectorTHR Board Jan 1, 2018
Rachal Bracker Individual Corporate OfficerGroup Finance Office THFW THSH Thaz Jun 18, 2023
Javier Iruegas Individual Corporate DirectorTHR Board Jan 1, 2023
Winjie T Miao Individual Corporate OfficerEvp Chief Experience Officer Jun 2, 2017
Corporate DirectorTHR Board Jan 1, 2019
Richard M Vigness Individual Corporate Director Jan 1, 2007
Vianei Braun Individual Corporate DirectorTHR Board Jan 1, 2023
Barclay Edward Berdan Individual Corporate OfficerPresident, Ceo THR Sep 1, 2014
Corporate Director Jan 1, 2006
Lawrence Hum Individual Corporate DirectorTHR Board Jan 1, 2023
Stacy Cantu Individual Corporate OfficerVP Chief Governance Officer Jan 1, 2018
Corporate DirectorTHR Board Jan 1, 2019
Andrew Masica Individual Corporate OfficerChief Medical Off Reliable Health Jan 1, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Rehabilitation Hospital of Fort WorthFort Worth, TX, CCN 673048 Hospital 5% Or Greater Direct Ownership Interest (30%) Aug 18, 2009
Texas Rehabilitation Hospital of KellerKeller, TX, CCN 673077 Hospital 5% Or Greater Indirect Ownership Interest (30%) Mar 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 32

Practitioners & affiliated clinicians

Practitioners 171

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 171

Affiliated clinicians 1,270

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,270

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1336172105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 916063",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761916063",
            "telephone_number": "800-890-6034",
            "fax_number": "682-236-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042122",
            "telephone_number": "817-882-3770",
            "fax_number": "817-882-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MINCHER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SENIOR VP REVENUE CYCLE",
        "authorized_official_telephone_number": "682-236-3013"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000235",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDNEY HEALTH",
            "identifier": "003114",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "103874100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "450135B000000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HOHH004901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ACUTE",
            "identifier": "HH0049",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HASCO",
            "identifier": "112677301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112677302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "181895800",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gateway@Direct.TexasHealth.org",
            "affiliation": "Y",
            "endpointDescription": "Direct Address",
            "affiliationName": "Texas Health Resources",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standards based healthcare information",
            "address_1": "612 E LaMar Blvd",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760114121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "FHIR API Endpoint",
            "affiliationName": "Texas Health Resources",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Information Sharing",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standards based healthcare information",
            "address_1": "612 E LaMar Blvd",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760114121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.