EAST TEXAS MEDICAL CENTER CARTHAGE NPI 1891969663

NPI Information

NPI: 1891969663
Provider Name: EAST TEXAS MEDICAL CENTER CARTHAGE

Doing Business As: ETMC FIRST PHYSICIAN CLINIC CENTER II

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

Specialization: Rural Health

Address:
1743 SOUTHVIEW CIR
CENTER, TX
ZIP 75935
Phone: (936) 591-8888
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EAST TEXAS MEDICAL CENTER CARTHAGE is a rural health clinic center in Center, TX. EAST TEXAS MEDICAL CENTER CARTHAGE NPI is 1891969663. The provider is registered as an organization entity type.
The provider Is Doing Business As Etmc First Physician Clinic Center Ii.

The provider's business location address is:

1743 SOUTHVIEW CIR
CENTER, TX
ZIP 75935-324
Phone: (936) 591-8888
Fax: (936) 591-8884

The provider's authorized official is Gary Hudson .
The authorized official title is Administrator and has the following contact phone number (903) 694-4682.

The enumeration date for this NPI number is 4/14/2008 and was last updated on 8/2/2011.

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	Other Provider Identifier Issuer
1	458892	MEDICARE OSCAR/CERTIFICATION	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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