EAST TEXAS MEDICAL CENTER QUITMAN NPI 1508871245

NPI Information

NPI: 1508871245
Provider Name: EAST TEXAS MEDICAL CENTER QUITMAN

Doing Business As: ETMC FIRST PHYSICIANS CLINIC QUITMAN

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
117 N WINNSBORO ST
QUITMAN, TX
ZIP 75783
Phone: (903) 763-6220
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EAST TEXAS MEDICAL CENTER QUITMAN is a rural health clinic center in Quitman, TX. EAST TEXAS MEDICAL CENTER QUITMAN NPI is 1508871245. The provider is registered as an organization entity type.
The provider Is Doing Business As Etmc First Physicians Clinic Quitman.

The provider's business location address is:

117 N WINNSBORO ST
QUITMAN, TX
ZIP 75783-144
Phone: (903) 763-6220
Fax: (903) 946-5531

The provider's authorized official is William P Henderson .
The authorized official title is Vp Affiliate Operations and has the following contact phone number (903) 946-5500.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 8/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	172427001	MEDICAID	TEXAS
2	172427002	MEDICAID	TEXAS
3	458852	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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