EAST TEXAS MEDICAL CENTER JACKSONVILLE (NPI# 1023342755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023342755 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER JACKSONVILLE |
| Other Organization Name | ETMC FIRST PHYSICIANS CLINIC FRANKSTON |
| Practice Address |
580 North Frankston Highway Frankston TX 75763-2654 |
| Mailing Address |
501 S Ragsdale St Jacksonville TX 75766-2434 |
| Practice Telephone | 9038765888 |
| Practice Fax Number | 9038765889 |
| Mailing Telephone | 9035415100 |
| Mailing Fax Number | 9035415068 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2011-07-28 |
| Authorized Official Name | MR. JACK R ENDRES (ADMINISTRATOR) |
| Authorized Official Telephone | 9035415100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 213876001 | 05 | |
| TX | THSTEPS | 213876002 | 01 |
| Other Name | Type Code |
|---|---|
| ETMC First Physicians Clinic Frankston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821366170 | East Texas Medical Center Jacksonville | Clinic/Center | 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 | 2011-12-01 |
| 1972827822 | East Texas Medical Center Jacksonville | Clinic/Center | 1325 N Dickinson Dr, Rusk, TX 75785-1051 | 2010-03-22 |
| 1285689133 | East Texas Medical Center Jacksonville | General Acute Care Hospital | 501 S Ragsdale St, Jacksonville, TX 75766-2467 | 2006-05-22 |
| Street Address |
580 NORTH FRANKSTON HIGHWAY |
| City | FRANKSTON |
| State | TX |
| Zip Code | 75763-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215440 | Rosalinda Morales | Registered Nurse | 180 Acr 318, Frankston, TX 75763 | 2020-05-05 |
| 1922401868 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 440 E Pine St, Frankston, TX 75763 | 2014-10-07 |
| 1396953931 | Westwood Isd | Local Education Agency (LEA) | 401 W. Main, Frankston, TX 75763 | 2007-05-18 |
| 1962610501 | Elkhart Isd | Local Education Agency (LEA) | 401 W. Main St, Frankston, TX 75763 | 2007-05-18 |
| 1275757999 | Debra Jo Johnson | Counselor | 2793 Acr. 319, Frankston, TX 75763 | 2007-04-12 |
| 1104929249 | Maxwell Pharmacy Inc | Pharmacy | 626 N Hwy 155, Frankston, TX 75763 | 2006-09-06 |
| 1255433470 | Frankston Dental Office | Dentist | 400 N Frankston Hwy, Frankston, TX 75763 | 2006-09-01 |
| 1760690309 | Frankston Isd | Local Education Agency (LEA) | 401 W. Main St, Frankston, TX 75763 | 2007-05-18 |
| 1679781215 | Neches Isd | Local Education Agency (LEA) | 401 W. Main St., Frankston, TX 75763 | 2007-05-18 |
| 1588872121 | Slocum Isd | Local Education Agency (LEA) | 401 W. Main St, Frankston, TX 75763 | 2007-05-18 |
| Find all providers in zip 75763 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043719560 | Jacksonville Hospital LLC | Clinic/Center | 580 N Frankston Hwy, Frankston, TX 75763-2516 | 2018-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.