NPIMap

Organization Active NPI

Careatc-Fort Worth

  • Primary Care Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1629520234
Registry record updated Oct 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAREATC-FORT WORTH
Practice address
6618 Fossil Bluff Dr
Suite 132
Fort Worth, TX 76137-7533
Phone
(800) 993-8244
NPI assigned
Oct 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2016

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

Authorized official

Name
Keith Gucwa
Title
Dir of Facilities and Purchasing
Phone
(918) 779-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6618 Fossil Bluff Dr
Suite 132
Fort Worth, TX 76137-7533

Mailing address

6618 Fossil Bluff Dr
Suite 132
Fort Worth, TX 76137-7533
Phone (800) 993-8244

National Provider Directory

National Provider Directory
Tax ID family
Careatc - Indiana Packers Health Center117 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1477785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477785600000",
    "number": "1629520234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 FOSSIL BLUFF DR",
            "address_2": "SUITE 132",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761377533",
            "telephone_number": "800-993-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 FOSSIL BLUFF DR",
            "address_2": "SUITE 132",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761377533",
            "telephone_number": "800-993-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC-FORT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-30",
        "last_updated": "2016-10-30",
        "status": "A",
        "authorized_official_last_name": "GUCWA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DIR OF FACILITIES AND PURCHASING",
        "authorized_official_telephone_number": "918-779-7416"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 2016; 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.