NPIMap

Organization Active NPI

TCH Family Practice Clinic

  • Rural Health Clinic/Center
  • Woodville, TX
National Provider Identifier
1407186950
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
608112 Issued in TX
Legal business name
TCH FAMILY PRACTICE CLINIC
Practice address
104 N Beech St
Woodville, TX 75979-4718
Phone
(409) 283-2822
Fax
(409) 283-7852
NPI assigned
Jan 6, 2010
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
TYLER COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Mrs. Betty Holton
Title
Office Manager
Phone
(409) 283-2822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 608112 TX Primary

Addresses

Primary practice location

104 N Beech St
Woodville, TX 75979-4718

Mailing address

104 N Beech St
Woodville, TX 75979-4718
Phone (409) 283-2822

National Provider Directory

National Provider Directory
Tax ID family
Tyler County Hosptial12 organizations share this tax ID, including this one
Part of
Tyler County Hosptial

Other organizations with this tax ID 11

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

Locations

104 N Beech St
Woodville, TX 75979
Phone (409) 283-2822

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/tylerco-db741375

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1407186950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N BEECH ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794718",
            "telephone_number": "409-283-2822",
            "fax_number": "409-283-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N BEECH ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794718",
            "telephone_number": "409-283-2822",
            "fax_number": "409-283-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCH FAMILY PRACTICE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TYLER COUNTY HOSPITAL",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-283-2822",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "608112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.