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PEDIATRIC ASSOCIATES
NPI 1790284552
Clinic/Center - Federally Qualified Health Center (FQHC) in Wichita Falls, TX

Active since February 07, 2018CLIA Certified · 2 labs
4420 KIMBELL DR, WICHITA FALLS, TX 76302(940) 766-6306 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2020, Feb 3, 2020, Feb 13, 2018 (3 updates tracked since 2018).

About Pediatric Associates NPPES

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

PEDIATRIC ASSOCIATES (NPI 1790284552) is a healthcare organization registered as a federally qualified health center (fqhc) in Wichita Falls, Texas and active in the NPI registry since February 2018. The organization holds 2 active CLIA laboratory certificates and lists Allen Patterson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790284552
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER INC.
Location Address4420 KIMBELL DRWichita Falls, TX 76302-3006
Mailing Address200 Martin Luther King BlvdWichita Falls, TX 76301-1152 · (940) 766-6306
Phone(940) 766-6306
Organization SubpartNo
Authorized OfficialAllen PattersonCeo · (940) 766-6306
Enumeration DateFebruary 7, 2018
Last NPPES UpdateApril 6, 20203 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
✔ NPI 1790284552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4420 KIMBELL DR, Wichita Falls, TX 76302
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Other Names 1

Doing Business AsPediatric Associates

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 45D1065442

Pediatric Associates · Wichita Falls, TX
Active · expires Feb 28, 2027
CLIA Number45D1065442
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorEilaheh Ebrahim
Laboratory Phone(940) 696-1600
Laboratory LocationPediatric Associates4420 Kimbell Drive, Wichita Falls, TX 76302
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D1012728

Pediatric Associates 10th Street · Wichita Falls, TX
Active · expires May 18, 2027
CLIA Number45D1012728
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorEllaheh Ebrahim
Laboratory Phone(940) 761-2229
Laboratory LocationPediatric Associates 10th Street1718 10th Street, Wichita Falls, TX 76301
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

BRYANA NICOLE LANGE APRN-MSN
Nurse Practitioner (Pediatrics)
4420 KIMBELL DR
WICHITA FALLS, TX 76302
Wichita County (940) 696-1600
NICOLE RENEE KAUFHOLD FNP-C
Nurse Practitioner (Family)
4420 KIMBELL DR
WICHITA FALLS, TX 76302
Wichita County (940) 696-1600
LANE A ANDERSON MSN RN PPCNP-BC CPN
Nurse Practitioner (Pediatrics)
4420 KIMBELL DR
WICHITA FALLS, TX 76302
Wichita County (940) 696-1600

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 North Central Texas Community Health Care Center Inc.'s NPI number?

The NPI number for North Central Texas Community Health Care Center Inc. is 1790284552. It was assigned to this organization in the NPPES registry on February 7, 2018. The provider is doing business as Pediatric Associates.

Where is North Central Texas Community Health Care Center Inc. located?

North Central Texas Community Health Care Center Inc. is located at 4420 Kimbell Dr, Wichita Falls, TX 76302. The listed phone number is (940) 766-6306.

What is North Central Texas Community Health Care Center Inc.'s specialty?

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

Does North Central Texas Community Health Care Center Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does North Central Texas Community Health Care Center Inc. accept?

Health plans from Blue Cross and Blue Shield of Texas list North Central Texas Community Health Care Center Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Central Texas Community Health Care Center Inc. was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.