Organization Active NPI

JFHW Rural Clinic PA

  • Rural Health Clinic/Center
  • Jasper, TX
National Provider Identifier
1942593447
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
JFHW RURAL CLINIC PA
Doing business as
Jasper Family Health & Wellness Rural Clinic
Practice address
492 Springhill St
Suite B
Jasper, TX 75951-4922
Phone
(409) 381-5750
Fax
(409) 384-2777
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Richard D Pham, M.D.NPI 1245282938
Title
President
Phone
(409) 381-5750

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
Rural Health Clinic/Center 261QR1300X TX Primary

Addresses

Primary practice location

492 Springhill St
Suite B
Jasper, TX 75951-4922

Mailing address

492 Springhill St
Suite B
Jasper, TX 75951-4922
Phone (409) 381-5750

Other names 1

  • Jasper Family Health & Wellness Rural Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

492 Springhill St
Ste B
Jasper, TX 75951
Phone (409) 381-5750

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": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1942593447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 SPRINGHILL ST",
            "address_2": "SUITE B",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514922",
            "telephone_number": "409-381-5750",
            "fax_number": "409-384-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 SPRINGHILL ST",
            "address_2": "SUITE B",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514922",
            "telephone_number": "409-381-5750",
            "fax_number": "409-384-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFHW RURAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-381-5750",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper Family Health & Wellness Rural Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.