West 380 Family Care Facility

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

WEST 380 FAMILY CARE FACILITY

Doing business as

Doctors' Hospital

Practice address

1905 Doctors Hospital Dr
Bridgeport, TX 76426-2260

Phone

(940) 683-5425

Fax

(940) 683-4327

NPI assigned

Jan 29, 2008

Last updated

Jun 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel E. Ibarra III

Title

Cfo

Phone

(940) 683-0300

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Doctors' Hospital Doing business as

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1609053974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 DOCTORS HOSPITAL DR",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262260",
            "telephone_number": "940-683-5425",
            "fax_number": "940-683-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 DOCTORS HOSPITAL DR",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262260",
            "telephone_number": "940-683-5425",
            "fax_number": "940-683-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST 380 FAMILY CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "940-683-0300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197807401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors' Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon W Walker, MD
• Morgan Paige Walker, PHARM.D.
• Robert Lee Ware III, LMT
• Webb Chiropractic PLLC (Trinity Chiropractic)
• James Jarrett Webb, D.C.
• West 380 Nursing Center (Trinty Care Center)
• West 380 Nursing Home Facility (Trinity Care Center Hospice)
• Angela S Whatley, CPHT
• Wise Clinical Care Associates
• Wise County Medical & Surgical Association

• General Acute Care Hospital in Bridgeport, TX
• Providers in Bridgeport, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.