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EAST TEXAS MEDICAL CENTER FAIRFIELD NPI 1578542098


NPI Information

NPI: 1578542098
Provider Name: EAST TEXAS MEDICAL CENTER FAIRFIELD
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
125 NEWMAN ST
FAIRFIELD, TX
ZIP 75840
Phone: (903) 389-2121
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EAST TEXAS MEDICAL CENTER FAIRFIELD is a general acute care hospital in Fairfield, TX. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. EAST TEXAS MEDICAL CENTER FAIRFIELD NPI is 1578542098. The provider is registered as an organization entity type.

The provider's business location address is:

125 NEWMAN ST
FAIRFIELD, TX
ZIP 75840-419
Phone: (903) 389-2121

The provider's authorized official is Raz Cook .
The authorized official title is Hopsital Administrator and has the following contact phone number (903) 389-1616.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 5/26/2010.


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
1261QA1903XClinic/CenterAmbulatory Surgical000401TEXASNo
2261QR1300XClinic/CenterRural Health000401TEXASNo
3275N00000XMedicare Defined Swing Bed Unit000401TEXASNo
4282N00000XGeneral Acute Care Hospital000401TEXASYes

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
1094190802MEDICAIDTEXAS
2HH0713OTHERTEXASBLUE CROSS BLUE SHIELD
3063474301MEDICAIDTEXAS
4450658MEDICARE ID-TYPE UNSPECIFIEDTEXAS
50098DQOTHERTEXASBLUE CROSS BLUE SHIELD
6458502MEDICARE ID-TYPE UNSPECIFIEDTEXAS
745U658MEDICARE ID-TYPE UNSPECIFIEDTEXAS
8094190801MEDICAIDTEXAS
9063474302MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.