NPIMap

Organization Active NPI

Fci Fort Worth

  • Exclusive Provider Organization
  • Forest Hill, TX
National Provider Identifier
1346592029
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
FCI FORT WORTH
Practice address
3150 Horton Rd
Forest Hill, TX 76119-5905
Phone
(817) 534-8400
NPI assigned
Oct 5, 2012
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Veronica Kaether
Title
SCS
Phone
(817) 534-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X TX Primary

Addresses

Primary practice location

3150 Horton Rd
Forest Hill, TX 76119-5905

Mailing address

3150 Horton Rd
Forest Hill, TX 76119-5905
Phone (817) 534-8400

National Provider Directory

National Provider Directory
Tax ID family
Federal Bureau of Prisonsfci Loretto49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

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

View all 48

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1346592029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HORTON RD",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761195905",
            "telephone_number": "817-534-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HORTON RD",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761195905",
            "telephone_number": "817-534-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCI FORT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "KAETHER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "SCS",
        "authorized_official_telephone_number": "817-534-8400"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.