EAST TEXAS MEDICAL CENTER PITTSBURG NPI 1518015908

NPI Information

NPI: 1518015908
Provider Name: EAST TEXAS MEDICAL CENTER PITTSBURG

Doing Business As: ETMC FIRST PHYSICIANS RURAL HEALTH CLINIC

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

Specialization: Rural Health

Address:
2701 U.S. HWY 271 N
PITTSBURG, TX
ZIP 75686
Phone: (903) 946-5442
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EAST TEXAS MEDICAL CENTER PITTSBURG is a rural health clinic center in Pittsburg, TX. EAST TEXAS MEDICAL CENTER PITTSBURG NPI is 1518015908. The provider is registered as an organization entity type.
The provider Is Doing Business As Etmc First Physicians Rural Health Clinic.

The provider's business location address is:

2701 U.S. HWY 271 N
PITTSBURG, TX
ZIP 75686-289
Phone: (903) 946-5442
Fax: (903) 946-5258

The provider's authorized official is W Perry Henderson .
The authorized official title is Administrator and has the following contact phone number (903) 856-4501.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 10/15/2009.

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	438	TEXAS	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	Other Provider Identifier Issuer
1	458850	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE RHC
2	138374714	MEDICAID	TEXAS
3	138374713	MEDICAID	TEXAS
4	K95J	OTHER	TEXAS	BCBS RURAL HEALTH

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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