Organization Active NPI

Community Care Medical Clinics Inc

  • Clinic/Center
  • Mansfield, TX
National Provider Identifier
1891703922
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
L5124 Issued in TX
Legal business name
COMMUNITY CARE MEDICAL CLINICS INC
Practice address
1301 Clubhouse Dr
Mansfield, TX 76063-2685
Phone
(817) 225-6900
Fax
(817) 225-6870
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Mr. Stephen Ramsey
Title
Ceo
Phone
(817) 225-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X L5124 TX Primary

Addresses

Primary practice location

1301 Clubhouse Dr
Mansfield, TX 76063-2685

Mailing address

1301 Clubhouse Dr
Mansfield, TX 76063-2685
Phone (817) 225-6900

Other practice location 1

814 Glen Abbey Drive
Mansfield, TX 76063
Phone (817) 546-4267

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1891703922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CLUBHOUSE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632685",
            "telephone_number": "817-225-6900",
            "fax_number": "817-225-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CLUBHOUSE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632685",
            "telephone_number": "817-225-6900",
            "fax_number": "817-225-6870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 Glen Abbey Drive",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "76063",
            "country_code": "US",
            "telephone_number": "817-546-4267",
            "fax_number": "866-837-1589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY CARE MEDICAL CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-225-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "L5124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.