NPIMap

Organization Active NPI

AIDS Resources of Rural Texas

  • State or Local Public Health Clinic/Center
  • Weatherford, TX
National Provider Identifier
1710932033
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
AIDS RESOURCES OF RURAL TEXAS
Practice address
1105 Santa Fe Dr
#109
Weatherford, TX 76086-5811
Phone
(817) 596-3022
NPI assigned
May 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deborah Pollak
Title
Acting Executive Director
Phone
(817) 596-3022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

1105 Santa Fe Dr
#109
Weatherford, TX 76086-5811

Mailing address

1105 Santa Fe Dr
#109
Weatherford, TX 76086-5811
Phone (817) 596-3022

National Provider Directory

National Provider Directory
Tax ID family
AIDS Resources of Rural Texas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1105 Santa Fe Dr
Ste 109
Weatherford, TX 76086
Phone (817) 596-3022

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710932033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SANTA FE DR",
            "address_2": "#109",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865811",
            "telephone_number": "817-596-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SANTA FE DR",
            "address_2": "#109",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865811",
            "telephone_number": "817-596-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS RESOURCES OF RURAL TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLLAK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ACTING EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-596-3022",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.