TOTAL HEALTHCARE CENTER – NPI #1477742856
Clinic/Center

TOTAL HEALTHCARE CENTER is an AHC clinic located in TYLER, TX. NPPES has assigned the NPI number 1477742856 to TOTAL HEALTHCARE CENTER on October 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TOTAL HEALTHCARE CENTER” is a dba name, the actual legal business name for this organization is COMMUNITY HEALTH CLINICS OF NORTHEAST TEXAS. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 16 years ago on Jun 22, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TOTAL HEALTHCARE CENTER below.

NPI Profile for
COMMUNITY HEALTH CLINICS OF NORTHEAST TEXAS

NPI Number
1477742856
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY HEALTH CLINICS OF NORTHEAST TEXAS
Doing Business As (dba): TOTAL HEALTHCARE CENTER
Primary location
928 N GLENWOOD BLVD
TYLER, TX 75702-5055
Phone: (903) 533-7400 Fax: (903) 533-7409
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRYAN WILDER
CFO
Phone: (903) 533-7400
Updated
Identifiers

Identifiers for TOTAL HEALTHCARE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX190636401
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.