NPIMap

Organization Active NPI

Tarrant County Public Health

  • State or Local Public Health Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1740508076
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
105716 Issued in TX
Legal business name
TARRANT COUNTY PUBLIC HEALTH
Practice address
1101 S Main St RM 1500
Preventive Medicine Clinic
Fort Worth, TX 76104-4802
Phone
(817) 321-4813
Fax
(817) 321-4809
NPI assigned
May 11, 2010
Organization subpart
Yes
Parent organization
TARRANT COUNTY PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Mr. Jason Fain Nevoit, ACRNNPI 1205060969
Title
Manager
Phone
(817) 321-4813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 105716 TX Primary

Addresses

Primary practice location

1101 S Main St RM 1500
Preventive Medicine Clinic
Fort Worth, TX 76104-4802

Mailing address

1101 S Main St RM 1500
Preventive Medicine Clinic
Fort Worth, TX 76104-4802
Phone (817) 321-4813

National Provider Directory

National Provider Directory
Part of
Public Health Departmen

Locations

1101 S Main St
Rm 1500
Fort Worth, TX 76104
Phone (817) 321-4850

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1740508076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST RM 1500",
            "address_2": "PREVENTIVE MEDICINE CLINIC",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044802",
            "telephone_number": "817-321-4813",
            "fax_number": "817-321-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST RM 1500",
            "address_2": "PREVENTIVE MEDICINE CLINIC",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044802",
            "telephone_number": "817-321-4813",
            "fax_number": "817-321-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRANT COUNTY PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TARRANT COUNTY PUBLIC HEALTH",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "NEVOIT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "FAIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-321-4813",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACRN"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "TX",
            "license": "105716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.