NPIMap

Organization Active NPI

Texas Health Harris Methodist Hospital Azle

  • General Acute Care Hospital
  • Azle, TX
National Provider Identifier
1508899204
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000469 Issued in TX
Legal business name
TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE
Practice address
108 Denver TRL
Azle, TX 76020-3614
Phone
(817) 444-8780
Fax
(817) 444-8799
NPI assigned
Jul 8, 2006
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Jeff Mincher
Title
Senior VP Revenue Cycle
Phone
(682) 236-3013

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000469 TX
General Acute Care Hospital 282N00000X 000469 TX Primary

Addresses

Primary practice location

108 Denver TRL
Azle, TX 76020-3614

Mailing address

PO Box 916066
Fort Worth, TX 76191-6066
Phone (800) 890-6034

Other identifiers 8

IdentifierTypeStateIssuer
HOHH052801OtherTXBCBS
127304703MedicaidTX
450419B000000OtherTXSECTION 1011
212006000OtherTXDEPT OF LABOR
103875100OtherTXFIRSTCARE
1273047-01OtherTXMEDICAID HASCO
HH0528OtherTXBLUE CROSS
010151OtherTXKIDNEY HEALTH

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/ Other Texas Health Resources
Direct Messaging Address Gateway@Direct.TexasHealth.org Direct Texas Health Resources

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050803000182 TX Part A Provider - Hospital 5092774620 Practice locations: Azle, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508899204. Details of each certification follow.

Hospital certification: CCN 450419

Legal name
TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Sep 23, 1977
Last certification
May 29, 2025
Beds
36
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2005 in TX
Enrollment address
108 Denver TRL
Texas Health Harris Methodist Hospital Azle
Azle, TX 76020-3614
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Texas Health Harris Methodist Hospital AzleCCN 450419 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Harris Meth Northwest P3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

909 Southeast Pkwy
Azle, TX 76020
Phone (817) 238-0735

Ownership & related parties

All disclosed owners & managing parties 42

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

NameRoleSinceShare
Ignacio T Nunez Individual Corporate DirectorTHR Board Jan 1, 2020
Deena McAllister Individual Corporate OfficerSVP Brand & Consumer Engmt Jan 1, 2019
Corporate DirectorTHR Board Jan 1, 2019
Laura Irvine Individual Corporate OfficerSevp Chief Experience Officer Apr 11, 2022
Corporate DirectorTHR Board Apr 11, 2022
Michael Guyton Individual Corporate OfficerSVP Jan 1, 2020
Corporate DirectorTHR Board Jan 1, 2020
Jeffrey Wayne Mincher Individual Corporate OfficerSVP Revenue Cycle Jun 20, 2022
Corporate DirectorTHR Board Jun 20, 2022
Texas Health Resources Organization, Arlington, TX Non-profit 5% Or Greater Direct Ownership Interest Sep 4, 1997 100%
Shaun Clinton Individual Corporate OfficerSVP Supply Chain Mar 5, 2017
Corporate DirectorTHR Board Jan 1, 2019
Christopher Harold Lane Individual Corporate OfficerChief Accounting Officer May 4, 2025
David Tesmer Individual Corporate DirectorTHR Board Jan 1, 2019
Kenneth Ray Bernstein Individual Corporate DirectorTHR Board Jan 1, 2021
John D Mitchell Individual Corporate DirectorTHR Board Jan 1, 2019
Sheila Chhutani Individual Corporate DirectorTHR Board Jan 1, 2024
Joshua Floren Individual Corporate OfficerSVP Hospital Channel Jan 1, 2024
Corporate DirectorTHR Board Jan 1, 2024
Hunter L Hunt Individual Corporate DirectorTHR Board Jan 1, 2014
Ferdinand T Velasco Individual Corporate DirectorTHR Board Jan 1, 2019
Kathleen Cox Individual Corporate DirectorTHR Board Jan 1, 2019
Hari K Avula Individual Corporate DirectorTHR Board Jan 1, 2025
Rick E McWhorter Individual Corporate OfficerEvp and Chief Financial Officer Dec 31, 2018
Corporate DirectorTHR Board Dec 1, 2013
Joseph Sudomir Individual Corporate OfficerSVP and Chief Information Officer Jan 1, 2021
Corporate DirectorTHR Board Jan 1, 2021
Lynn Montgomery Individual Corporate DirectorTHR Board Jan 1, 2018
Robert Jones Individual Corporate DirectorTHR Board Jan 1, 2019
Dhruvangkumar Arunchandra Modi Individual Corporate DirectorTHR Board Jan 1, 2024
Rebekah Stewart Individual Corporate OfficerSVP & Chief Compliance Officer Jan 1, 2022
Corporate DirectorTHR Board Jan 1, 2022
Carla Dawson Individual Corporate OfficerVP Chief People Officer Jan 31, 2020
Corporate DirectorTHR Board Jan 1, 2020
John E Whitely Individual Corporate DirectorTHR Board Jan 1, 2019
Brandon Pope Individual Corporate OfficerSVP Strategy MKT Develop Jan 1, 2024
Corporate DirectorTHR Board Jan 1, 2024
James K King Individual Corporate OfficerEvp Hospital Channel Coo May 15, 2019
Corporate DirectorThaz Board Jan 1, 2018
Jennifer Schroeder Individual Corporate OfficerSVP Deputy General Counsel Jan 1, 2024
Rebecca Tucker Individual Corporate DirectorTHR Board Jan 1, 2022
Gary Goldberg Individual Corporate OfficerSVP Risk Capabilities Jan 31, 2020
Corporate DirectorTHR Board Jan 1, 2020
Kenneth Kramer Individual Corporate OfficerEvp Legal Counsel Nov 2, 2015
Susan L Weeks Individual Corporate DirectorTHR Board Jan 1, 2018
Rachal Bracker Individual Corporate OfficerGfo Greater FW Jun 18, 2023
W-2 Managing EmployeeGfo Greater FW Jun 18, 2023
Javier Iruegas Individual Corporate DirectorTHR Board Jan 1, 2024
Winjie T Miao Individual Corporate OfficerSr VP Sys Integration Innovtion-THR Jan 26, 2015
Jacque D Krejci Individual Corporate OfficerAssistant General Counsel THR Jan 1, 2018
Corporate DirectorThaz Board Jan 1, 2018
Richard M Vigness Individual Corporate DirectorTHR Board Jan 1, 2014
Vianei Braun Individual Corporate DirectorTHR Board Jan 1, 2024
Barclay Edward Berdan Individual Corporate OfficerCeo-THR Sep 1, 2014
Lawrence Hum Individual Corporate DirectorTHR Board Jan 1, 2024
Stacy Cantu Individual Corporate OfficerVP, Chief Governance Officer, THR Jan 1, 2018
Corporate DirectorThaz Board Jan 1, 2018
Andrew Masica Individual Corporate OfficerChief Med Officer Reliable Health Jan 1, 2021
Corporate DirectorTHR Board Jan 1, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 32

Practitioners & affiliated clinicians

Practitioners 7

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 163

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

View all 163

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1508899204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 916066",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761916066",
            "telephone_number": "800-890-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DENVER TRL",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203614",
            "telephone_number": "817-444-8780",
            "fax_number": "817-444-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MINCHER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SENIOR VP REVENUE CYCLE",
        "authorized_official_telephone_number": "682-236-3013"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000469",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HOHH052801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127304703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "450419B000000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "212006000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "103875100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HASCO",
            "identifier": "1273047-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH0528",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDNEY HEALTH",
            "identifier": "010151",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "FHIR API Endpoint",
            "affiliationName": "Texas Health Resources",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Information Sharing",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standards based healthcare information",
            "address_1": "612 E LaMar Blvd",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760114121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gateway@Direct.TexasHealth.org",
            "affiliation": "Y",
            "endpointDescription": "Direct Address",
            "affiliationName": "Texas Health Resources",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standards based healthcare information",
            "address_1": "612 E LaMar Blvd",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760114121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

Verify at the official NPI Registry.