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CAMPUS CLINIC
NPI 1790013787
Clinic/Center in Fort Worth, TX

Active since December 02, 2009CLIA 45D1085282 · Waiver
4501 STANLEY AVE, FORT WORTH, TX 76115(817) 921-8880(817) 921-8881 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Campus Clinic NPPES

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

CAMPUS CLINIC (NPI 1790013787) is a healthcare organization registered as a clinic/center in Fort Worth, Texas and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Richard R Knight, Campus Physician, as its authorized official.

NPPES Registry Identity

NPI1790013787
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHWESTERN BAPTIST THEOLOGICAL SEMINARY
Location Address4501 STANLEY AVEFort Worth, TX 76115-2156
Mailing AddressPo Box 22480Fort Worth, TX 76122-0001 · (817) 923-1921 · Fax (817) 921-8796
Phone(817) 921-8880
Fax(817) 921-8881
Organization SubpartNo
Authorized OfficialRichard R KnightCampus Physician · (817) 921-8880
Enumeration DateDecember 2, 2009
Last NPPES UpdateApril 11, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1790013787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4501 STANLEY AVE, Fort Worth, TX 76115
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Other Names 1

Other NameCampus Clinic

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 45D1085282

Southwestern Baptist Theological Seminary- Swbts Clinic · Fort Worth, TX
Active · expires Jun 12, 2028
CLIA Number45D1085282
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorRichard R. Knight
Laboratory Phone(817) 921-8880
Laboratory LocationSouthwestern Baptist Theological Seminary- Swbts Clinic4501 Stanley Ave, Fort Worth, TX 76115
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

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

DR. RICHARD RUSSELL KNIGHT MD
Family Medicine
4501 STANLEY AVE
FORT WORTH, TX 76115
Tarrant County (817) 921-8880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwestern Baptist Theological Seminary's NPI number?

The NPI number for Southwestern Baptist Theological Seminary is 1790013787. It was assigned to this organization in the NPPES registry on December 2, 2009. The provider is also known as Campus Clinic.

Where is Southwestern Baptist Theological Seminary located?

Southwestern Baptist Theological Seminary is located at 4501 Stanley Ave, Fort Worth, TX 76115. The listed phone number is (817) 921-8880.

What is Southwestern Baptist Theological Seminary's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Southwestern Baptist Theological Seminary hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1085282) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southwestern Baptist Theological Seminary was last updated on April 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.