NPIMap

Organization Active NPI

Amarillo North Texas Emergency Center, LLC

  • Emergency Medicine Physician
  • Amarillo, TX
National Provider Identifier
1386325801
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
AMARILLO NORTH TEXAS EMERGENCY CENTER, LLC
Practice address
2101 S Coulter St
Amarillo, TX 79106-2513
Phone
(806) 310-5086
NPI assigned
Jul 27, 2023
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Sara Swift
Title
Associate Director
Phone
(301) 768-2639

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Emergency Care Clinic/Center 261QE0002X

Addresses

Primary practice location

2101 S Coulter St
Amarillo, TX 79106-2513

Mailing address

1535 West Loop S Ste 300
Houston, TX 77027-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240126000813 TX Part A Provider - Hospital 6608229661 Practice locations: Amarillo, TX
O20240226001207 TX Part B Supplier - Clinic/Group Practice 6608229661 Receives reassigned benefits from 1 practitioner
Practice locations: Amarillo, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386325801. Details of each certification follow.

Hospital certification: CCN 670330

Legal name
AMARILLO NORTH TEXAS EMERGENCY CENTER, LLC
Organization structure
LLCProprietary
Enrollment address
2101 S Coulter St
Amarillo, TX 79106-2513
Main/Primary Hospital Location
Hospital subgroups
General, Other

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Darleen Callahan Individual Corporate OfficerCeo Nov 14, 2023
W-2 Managing EmployeeCeo Nov 14, 2023
Operational/Managerial ControlCeo Nov 14, 2023

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 9

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

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1386325801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 WEST LOOP S STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770270003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062513",
            "telephone_number": "806-310-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO NORTH TEXAS EMERGENCY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "301-768-2639"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.