NPIMap

Organization Active NPI

North Central Texas Community Health Care Center, Inc

Doing business as Pediatric Associates 10th Street

  • Federally Qualified Health Center (FQHC)
  • Wichita Falls, TX
National Provider Identifier
1982398632
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER, INC
Doing business as
Pediatric Associates 10th Street
Practice address
1718 10TH St
Wichita Falls, TX 76301-5053
Phone
(940) 766-6306
NPI assigned
Jun 6, 2023
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Chad Minnix, CFOO
Title
Cfoo
Phone
(940) 761-1697

Specialties & licenses 1

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

Addresses

Primary practice location

1718 10TH St
Wichita Falls, TX 76301-5053

Mailing address

200 MLK Jr Blvd
Wichita Falls, TX 76301-1152
Phone (940) 766-6306

Other names 1

  • Pediatric Associates 10th Street Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318001674 TX Part B Supplier - Clinic/Group Practice 9931099215 Receives reassigned benefits from 30 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wichita Falls, TX; Vernon, TX; Plano, TX; McKinney, TX
O20230705000979 TX Part A Provider - Federally Qualified Health Center (FQHC) 9931099215 Practice locations: Wichita Falls, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982398632. Details of each certification follow.

Federally qualified health center certification: CCN 671092

Legal name
NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER INC
Doing business as
PEDIATRIC ASSOCIATES 10TH STREET
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 26, 2023
Last certification
Jun 26, 2023
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Apr 7, 1992 in TX
Enrollment address
1718 10TH St
Wichita Falls, TX 76301-5053

Other NPIs with the same Medicare PAC ID 13

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

View all 13

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1012728Pediatric Associates 10TH Street1718 10TH Street, Wichita Falls, TX 76301Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
North Central Texas Community Health Care Center15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Michael Dotson Individual Corporate OfficerCeo Jul 31, 2025 15%
Wesley Holmes Individual Corporate DirectorBoard Member Feb 1, 2020 4%
Holly Scheller Individual Corporate DirectorBoard Member Jul 1, 2023 4%
Nancy C Townley Individual Corporate DirectorBoard Member Jul 1, 2024 4%
Lisa Kimbell Individual Corporate DirectorBoard Member Sep 1, 2024 4%
Barbara a Murphy Individual Corporate DirectorBoard Member Jul 1, 2024 4%
Chad Price Minnix Individual Corporate OfficerCfo/Coo Aug 26, 2021 15%
Woodrow Gossom Individual Corporate DirectorBoard Member Jul 1, 2023 4%
Virgil Nesbitt Individual Corporate DirectorBoard Member Jul 1, 2020 4%
Ellaheh Ebrahim Individual Operational/Managerial ControlChief Medical Officer Apr 1, 2015 15%
Jeanna Berry Individual Corporate DirectorBoard Member Apr 1, 2024 4%
David a Flack Individual Corporate DirectorBoard Member Jan 1, 2020 4%
Christie Bragg Individual Operational/Managerial ControlAssociate Operations Officer Jul 1, 2016 15%
Kimberly Callahan Individual Corporate DirectorBoard Member Jul 1, 2024 4%
Aaron Goodwin Individual Operational/Managerial ControlChief Information Officer Jul 29, 2015 15%
Debra Yancey Individual Corporate DirectorBoard Member Jul 1, 2023 4%
Richard Bowersock Individual Corporate DirectorBoard Member Jul 1, 2025 4%
Deedee McKinney Individual Operational/Managerial ControlAssociate Operations Officer Oct 19, 2016 15%
Ashvin N Patel Individual Corporate DirectorBoard Member Jul 1, 2016 4%
Iliana Jaramillo Individual Corporate DirectorBoard Member Jul 1, 2017 4%

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1982398632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MLK JR BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-766-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015053",
            "telephone_number": "940-766-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "MINNIX",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CFOO",
        "authorized_official_telephone_number": "940-761-1697",
        "authorized_official_credential": "CFOO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Associates 10th Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.