Organization
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF MINCHER (SENIOR VP REVENUE CYCLE)
(682) 236-3013
Entity
Organization
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 882-3770
(817) 882-3781
Mailing address
PO BOX 916063, FORT WORTH, TX 76191-6063
(800) 890-6034
(682) 236-0103
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
000235
TX
282N00000X
General Acute Care Hospital
Primary
000235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003114
KIDNEY HEALTH
TX
01
—
103874100
FIRSTCARE
TX
01
—
112677301
MEDICAID HASCO
TX
05
—
112677302
—
TX
01
—
181895800
DEPT OF LABOR
TX
01
—
450135B000000
SECTION 1011
TX
01
—
HH0049
BLUE CROSS ACUTE
TX
01
—
HOHH004901
BCBS
TX
Enumeration date
07/07/2006
Last updated
04/22/2026
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