Active NPI
County of Tarrant
- Public Health or Welfare Agency
- Fort Worth, TX
National Provider Identifier
1619265121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF TARRANT
- Practice address
- 1101 S Main St
Suite 2106
Fort Worth, TX 76104-4802 - Phone
- (817) 321-4769
- Fax
- (817) 850-5845
- NPI assigned
- Jul 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Catherine A Colquitt, M.D.
- Title
- Medical Director
- Phone
- (817) 321-5344
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
1101 S Main St
Suite 2106
Fort Worth, TX 76104-4802
Mailing address
1101 S Main St
Suite 2106
Fort Worth, TX 76104-4802
Phone (817) 321-4700
Other names 1
- Tarrant County Public Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081023000723 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 1456315571 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fort Worth, TX |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1497225600000",
"number": "1619265121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S MAIN ST",
"address_2": "SUITE 2106",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044802",
"telephone_number": "817-321-4700",
"fax_number": "817-850-5845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S MAIN ST",
"address_2": "SUITE 2106",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044802",
"telephone_number": "817-321-4769",
"fax_number": "817-850-5845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF TARRANT",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-18",
"last_updated": "2017-06-12",
"status": "A",
"authorized_official_last_name": "COLQUITT",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "817-321-5344",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tarrant County Public Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.