Active NPI
Tyler Family Circle of Care
- Federally Qualified Health Center (FQHC)
- Tyler, TX
National Provider Identifier
1720412141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- TYLER FAMILY CIRCLE OF CARE
- Practice address
- 214 E Houston St
Tyler, TX 75702-8131 - Phone
- (903) 535-9041
- NPI assigned
- Aug 22, 2013
- 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
- Mrs. Loretta Swan
- Title
- Board Chairperson
- Phone
- (903) 510-1113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
214 E Houston St
Tyler, TX 75702-8131
Mailing address
PO Box 844273
Dallas, TX 75284-4273
Phone (903) 535-9041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311152804 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Tyler Family Circle of Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1942011903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1720412141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844273",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844273",
"telephone_number": "903-535-9041",
"fax_number": "903-531-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E HOUSTON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757028131",
"telephone_number": "903-535-9041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYLER FAMILY CIRCLE OF CARE",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-22",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "SWAN",
"authorized_official_first_name": "LORETTA",
"authorized_official_title_or_position": "BOARD CHAIRPERSON",
"authorized_official_telephone_number": "903-510-1113",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311152804",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.