Organization Active NPI

Faith Family Medical Center

  • Family Nurse Practitioner
  • Stratford, TX
National Provider Identifier
1699003665
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
739475 Issued in TX
Legal business name
FAITH FAMILY MEDICAL CENTER
Practice address
309 North Main Street
Stratford, TX 79084-0126
Phone
(806) 396-4846
Fax
(806) 396-4870
NPI assigned
Dec 2, 2009
Last updated
Mar 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Ms. Maria Louisa Ortega
Title
Office Manager
Phone
(806) 396-4846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 739475 TX Primary

Addresses

Primary practice location

309 North Main Street
Stratford, TX 79084-0126

Mailing address

309 North Main Street
PO Box 126
Stratford, TX 79084-0126
Phone (806) 396-4846

National Provider Directory

National Provider Directory

Locations

309 N Main St
Stratford, TX 79084
Phone (806) 396-4846

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1699003665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NORTH MAIN STREET",
            "address_2": "PO BOX 126",
            "city": "STRATFORD",
            "state": "TX",
            "postal_code": "790840126",
            "telephone_number": "806-396-4846",
            "fax_number": "806-396-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NORTH MAIN STREET",
            "city": "STRATFORD",
            "state": "TX",
            "postal_code": "790840126",
            "telephone_number": "806-396-4846",
            "fax_number": "806-396-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOUISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-396-4846",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "739475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.