NPIMap

Organization Active NPI

Dept of State Health Services Wic

  • Public Health or Welfare Agency
  • Sulphur Springs, TX
National Provider Identifier
1639337488
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DEPT OF STATE HEALTH SERVICES WIC
Practice address
1400 College St
Ste 167
Sulphur Springs, TX 75482-3469
Phone
(903) 885-8022
Fax
(903) 439-9330
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Robin Edwards, WCS,CLC
Title
Public Health Tech III
Phone
(903) 885-8022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1400 College St
Ste 167
Sulphur Springs, TX 75482-3469

Mailing address

1400 College Street
#167
Sulphur Springs, TX 75482
Phone (903) 885-8022

Other names 1

  • DSHS WIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Waco Center for Youth17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

1400 College St
Ste 167
Sulphur Springs, TX 75482
Phone (903) 885-6573

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1639337488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COLLEGE STREET",
            "address_2": "#167",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "75482",
            "telephone_number": "903-885-8022",
            "fax_number": "903-439-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COLLEGE ST",
            "address_2": "STE 167",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754823469",
            "telephone_number": "903-885-8022",
            "fax_number": "903-439-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT OF STATE HEALTH SERVICES WIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PUBLIC HEALTH TECH III",
        "authorized_official_telephone_number": "903-885-8022",
        "authorized_official_credential": "WCS,CLC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DSHS WIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.