NPIMap

Organization Active NPI

Fourth Ward Clinic

Doing business as Good Neighbor Healthcare Center Cy-Fair

  • Federally Qualified Health Center (FQHC)
  • Cypress, TX
National Provider Identifier
1376098509
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FOURTH WARD CLINIC
Doing business as
Good Neighbor Healthcare Center Cy-Fair
Practice address
7777 Westgreen Blvd
Cypress, TX 77433-0190
Phone
(713) 529-3597
Fax
(713) 529-9169
NPI assigned
Aug 17, 2016
Last updated
Aug 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Ann Thielke
Title
Chief Executive Officer
Phone
(713) 387-7140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

7777 Westgreen Blvd
Cypress, TX 77433-0190

Mailing address

190 Heights Blvd
Houston, TX 77007-3729
Phone (713) 529-3597

Other names 1

  • Good Neighbor Healthcare Center Cy-Fair Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fourth Ward Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1376098509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HEIGHTS BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073729",
            "telephone_number": "713-529-3597",
            "fax_number": "713-529-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 WESTGREEN BLVD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330190",
            "telephone_number": "713-529-3597",
            "fax_number": "713-529-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURTH WARD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "THIELKE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "713-387-7140"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Neighbor Healthcare Center Cy-Fair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.