North Texas Area Community Health Centers, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC.

Doing business as

Wise County Community Health Center

Practice address

2000 S FM 51
Suite D
Decatur, TX 76234-3702

Phone

(940) 393-0100

Fax

(940) 393-0199

NPI assigned

May 2, 2012

Reactivated

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Arcadio Viveros

Title

Ceo

Phone

(817) 378-0855

Specialties & licenses 1

Addresses

Other names 1

• Wise County Community Health Center Doing business as

Locations

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1417215989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST",
            "address_2": "SUITE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761648570",
            "telephone_number": "817-378-0855",
            "fax_number": "817-378-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S FM 51",
            "address_2": "SUITE D",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343702",
            "telephone_number": "940-393-0100",
            "fax_number": "940-393-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2015-01-12",
        "deactivation_date": "2013-10-23",
        "reactivation_date": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "VIVEROS",
        "authorized_official_first_name": "ARCADIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-378-0855",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise County Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Federally Qualified Health Center (FQHC) in Decatur, TX
• Providers in Decatur, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.