Forest Park Mecial Center at Fort Worth, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

FOREST PARK MECIAL CENTER AT FORT WORTH, LLC

Practice address

5400 Clearfork Main St
Fort Worth, TX 76107

Phone

(817) 731-8585

NPI assigned

Mar 6, 2014

Organization subpart

No

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

Authorized official

Name

James Davis

Title

Ceo

Phone

(817) 731-8585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1831515550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CLEARFORK MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76017",
            "telephone_number": "817-731-8585",
            "fax_number": "817-731-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CLEARFORK MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76107",
            "telephone_number": "817-731-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PARK MECIAL CENTER AT FORT WORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-731-8585"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lynn Foreman, LCSW
• Carrie Forero, RN
• Forest Hill Diagnostic & Rehabilitation, Inc.
• Forest L Calhoun Jr
• Forest Park Management
• Mark David Forester, BS CCSH
• Shaun Michael Foret
• Clara Formusoh, NP
• Kandace Forooshani-Ficklin
• Clara Sue Forrester, CPNP

• General Acute Care Hospital in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.