Organization Active NPI

Health Services of North Texas, Inc

  • Federally Qualified Health Center (FQHC)
  • Plano, TX
National Provider Identifier
1790232007
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH SERVICES OF NORTH TEXAS, INC
Practice address
5501 Independence Pkwy Ste 110
Plano, TX 75023-5472
Phone
(940) 381-1501
Fax
(972) 424-9117
NPI assigned
Sep 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Anna Contreras
Title
Credentialing Manager
Phone
(940) 435-9044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5501 Independence Pkwy Ste 110
Plano, TX 75023-5472

Mailing address

4401 N Interstate 35 Unit 312
Denton, TX 76207-3318
Phone (940) 381-1501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180427000033 TX Part A Provider - Federally Qualified Health Center (FQHC) 0244211852 Practice locations: Plano, TX

Federally qualified health center certification: CCN 451005

Legal name
HEALTH SERVICES OF NORTH TEXAS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 26, 2018
Last certification
Apr 26, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 29, 1988 in TX
Enrollment address
5501 Independence Pkwy
Ste 110
Plano, TX 75023-5472

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Health Services of North Texas Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIBIAD

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Eric W Scwarz Individual Corporate DirectorBoard Member Apr 1, 2023
Sara J Schroeder Individual Corporate DirectorVice President Apr 1, 2020
Kimberly Middleton Individual Corporate DirectorBoard Member Jul 1, 2021
Melissa a Winans Individual Corporate DirectorBoard Member Apr 1, 2019
Sadaf Haq Individual Corporate DirectorBoard Member Apr 1, 2023
Luther L Brown Individual Corporate DirectorTreasurer Apr 20, 2022
Michael Foster Individual Corporate DirectorPast President Mar 1, 2016
Dale R. Tampke Individual Corporate DirectorPresident Apr 1, 2017
James a Henderson Individual Corporate DirectorSecretary Apr 1, 2018
Pamela Barnes Individual Corporate OfficerChief Financial Officer Feb 1, 1994
Debra Layman Individual Corporate OfficerChief Operations Officer Nov 14, 2016
W-2 Managing EmployeeChief Operations Officer Nov 14, 2016
Belinda K Hernandez Individual Corporate DirectorBoard Member Jul 1, 2021
Doreen Rue Individual Corporate OfficerChief Executive Officer Apr 1, 2013
Mohammed H Husain Individual Corporate DirectorBoard Member Dec 1, 2019
Leland C Oliver Individual Corporate DirectorBoard Member May 1, 2021

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1790232007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N INTERSTATE 35 UNIT 312",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073318",
            "telephone_number": "940-381-1501",
            "fax_number": "940-566-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 INDEPENDENCE PKWY STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235472",
            "telephone_number": "940-381-1501",
            "fax_number": "972-424-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES OF NORTH TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "940-435-9044"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.