Organization Active NPI

Tyler Family Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Tyler, TX
National Provider Identifier
1720412141
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
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

Updated by the provider on Aug 17, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
311152804MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Tyler Family Circle of Care2 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.

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.

Verify at the official NPI Registry.