NORTHSIDE COMMUNITY HEALTH CENTER
NPI 1568420800
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Worth, TX

Q: What is North Texas Area Community Health Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 03, 2006CLIA 45D1048378 · Waiver

2332 BEVERLY HILLS DR, FORT WORTH, TX 76114(817) 625-4254(817) 740-8612 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2021, Sep 12, 2018, Sep 5, 2018 (3 updates tracked since 2018).

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About Northside Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSIDE COMMUNITY HEALTH CENTER (NPI 1568420800) is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Worth, Texas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Gerrie Whitaker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568420800

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC.

Location Address2332 BEVERLY HILLS DRFort Worth, TX 76114-1756

Mailing Address2332 Beverly Hills DrFort Worth, TX 76114 · (817) 625-4254 · Fax (817) 740-8612

Phone(817) 625-4254

Fax(817) 740-8612

Organization SubpartNo

Authorized OfficialGerrie WhitakerCeo · (817) 625-4254

Enumeration DateMay 3, 2006

Last NPPES UpdateOctober 28, 20243 updates tracked since enumeration

NPPES CertifiedOctober 28, 2024

✔ NPI 1568420800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

2332 BEVERLY HILLS DR, Fort Worth, TX 76114

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Other Names 1

Doing Business AsNorthside Community Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1048378

North Texas Area Community Health Centers, Inc · Fort Worth, TX

Active · expires Aug 11, 2026

CLIA Number45D1048378

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateAugust 12, 2024

Certificate Expiration DateAugust 11, 2026

Laboratory DirectorPatricia A. Rodriguez

Laboratory Phone(817) 625-4254

Laboratory LocationNorth Texas Area Community Health Centers, Inc2332 Beverly Hills Dr, Fort Worth, TX 76114

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE PURCELL LOPEZ PA

Physician Assistant