NPIMap

Organization Active NPI

North Texas Area Community Health Centers, Inc

Doing business as Arlington Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Arlington, TX
National Provider Identifier
1740668011
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC
Doing business as
Arlington Community Health Center
Practice address
1001 N Waldrop Dr Ste 708
Arlington, TX 76012-4704
Phone
(817) 625-4254
Fax
(817) 740-8612
NPI assigned
May 7, 2015
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Gerrie Whitaker
Title
Ceo
Phone
(817) 625-4254

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1001 N Waldrop Dr Ste 708
Arlington, TX 76012-4704

Mailing address

2332 Beverly Hills Dr
Fort Worth, TX 76114-1756
Phone (817) 625-4254

Other practice location 1

979 N Cooper St
Arlington, TX 76011-5783
Phone (817) 625-4254

Other names 1

  • Arlington Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160405001562 TX Part A Provider - Federally Qualified Health Center (FQHC) 9931124450 Practice locations: Arlington, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740668011. Details of each certification follow.

Federally qualified health center certification: CCN 741914

Legal name
NORTH TEXAS AREA COMMUNITY HEALTH CENTERS INC
Doing business as
ARLINGTON COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 18, 2016
Last certification
Mar 18, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 28, 2002 in TX
Enrollment address
1001 N Waldrop Dr
Ste 708
Arlington, TX 76012-4704

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
North Texas Area Community Health Centers Inc3 organizations share this tax ID, including this one
Part of
North Texas Area Community Health Centers Inc

Other organizations with this tax ID 2

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

Locations

1001 N Waldrop Dr
Ste 708
Arlington, TX 76012
Phone (817) 625-4254

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Diann Sanchez Individual Corporate OfficerBoard Member Oct 18, 2013
Susan Willis Individual Corporate OfficerCorporate Compliance Officer Dec 1, 2023
William R Venable Individual Corporate OfficerVice President Jan 1, 2022
Charles Smith Individual Corporate OfficerCfo Apr 1, 2024
Gregory M Eastin Individual Corporate OfficerBoard Member Oct 1, 2006
Lori Kennedy Individual Corporate OfficerPresident Jan 1, 2022
Geraldine Whitaker Individual W-2 Managing EmployeeExecutive Director Aug 1, 2017
North Texas Area Community Health Centers Inc Organization, Ft Worth, TX Non-profit 5% Or Greater Direct Ownership Interest Sep 2, 2015 100%
Operational/Managerial Control Sep 2, 2015

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southeast Community Health CenterFort Worth, TX, CCN 671949 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 21, 2022
Feb 21, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1740668011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 BEVERLY HILLS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761141756",
            "telephone_number": "817-625-4254",
            "fax_number": "817-740-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N WALDROP DR STE 708",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124704",
            "telephone_number": "817-625-4254",
            "fax_number": "817-740-8612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "979 N Cooper St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760115783",
            "country_code": "US",
            "telephone_number": "817-625-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "GERRIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-625-4254"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arlington Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.