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General NPI Number Information
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NPI Number | 1255324141
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Entity Type | Organization
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Legal Business Name | NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER, INC
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 200 MLKJR BLVD
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City | WICHITA FALLS
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State | TX
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Zip | 76301-1152
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Country | US
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Telephone | 940-397-2691
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Fax | 940-761-3038
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Provider Business Mailing Address
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Address Line | 200 MLKJR BLVD
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City | WICHITA FALLS
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State | TX
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Zip | 76301-1152
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Country | US
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Telephone | 940-397-2690
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Fax | 940-761-3038
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Authorized Official
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Title or Position | CFO
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Name | CHAD MINNIX
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Credential | CFO
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Telephone | 940-766-6306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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