BRIM HEALTHCARE OF TEXAS LLC (NPI# 1114903523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114903523 |
| Entity Type | Organization |
| Organization Name | BRIM HEALTHCARE OF TEXAS LLC |
| Practice Address |
1000 Pine St Texarkana TX 75501-5100 |
| Mailing Address |
1000 Pine St Attn: Billing Texarkana TX 75501-5100 |
| Practice Telephone | 9037988000 |
| Practice Fax Number | 9037987725 |
| Mailing Telephone | 9037988000 |
| Mailing Fax Number | 9037988030 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | MR. THOMAS D. GILBERT (HOSPITAL CEO) |
| Authorized Official Telephone | 9037988001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 000144 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100702140A | 05 | |
| AR | 107583105 | 05 | |
| TX | 2073116-01 | 05 | |
| LA | 1731498 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023297082 | Brim Healthcare of Texas LLC | Clinic/Center | 1000 Pine St, Day Surgery Unit, Texarkana, TX 75501-5100 | 2007-10-26 |
| 1295839991 | Brim Healthcare of Texas LLC | Psychiatric Unit | 1000 Pine St, Texarkana, TX 75501-5100 | 2006-09-12 |
| Street Address |
1000 PINE ST |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275496 | David Lee Carlisle | Specialist | 1000 Pine St, Texarkana, TX 75501-5100 | 2005-06-17 |
| 1821616343 | Sher Lynn Fomby | Nurse Practitioner | 1000 Pine St, Texarkana, TX 75501-5100 | 2020-07-10 |
| 1609401959 | Zachary Heath Jones | Registered Nurse | 1000 Pine St, Texarkana, TX 75501-5100 | 2020-03-06 |
| 1528535143 | Johanna Morgan Hensley | Registered Nurse | 1000 Pine St, Texarkana, TX 75501-5100 | 2018-11-01 |
| 1205388212 | Cristi Anthony Hicks | Nurse Practitioner | 1000 Pine St, Texarkana, TX 75501-5100 | 2016-10-26 |
| 1861872467 | Karen Denise Marks | Social Worker | 1000 Pine St, Texarkana, TX 75501-5100 | 2015-06-09 |
| 1942601547 | Pam Squared At Texarkana, LLC | Long Term Care Hospital | 1000 Pine St, 6th Floor, Texarkana, TX 75501-5100 | 2014-09-15 |
| 1962819664 | Crystal Lites Speede | Nurse Practitioner | 1000 Pine St, Er, Texarkana, TX 75501-5100 | 2014-07-15 |
| 1295154284 | Rodney Lagrone Jr. | Anesthesiology | 1000 Pine St, Texarkana, TX 75501 | 2014-04-07 |
| 1700211737 | Twice Nice Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 1000 Pine St, Texarkana, TX 75501-5100 | 2013-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518988690 | Living Hope New Boston LLC | General Acute Care Hospital | 1111 Hazel St, Texarkana, TX 75501-5229 | 2006-07-22 |
| 1295736734 | Christus Health Ark-la-tex | General Acute Care Hospital | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233785 | Hendrick Medical Center Brownwood | General Acute Care Hospital | 1501 Burnett Rd, Brownwood, TX 76801-8520 | 2020-07-29 |
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
| 1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
| 1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
| 1841844735 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 806 Cupples Rd, San Antonio, TX 78237-4410 | 2019-07-29 |
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1669954194 | Southcross Hospital LLC | General Acute Care Hospital | 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 | 2018-08-31 |
| 1356822167 | Stat Emergency Center of Del Rio LLC | General Acute Care Hospital | 2600 Veterans Blvd, Del Rio, TX 78840-3108 | 2018-08-29 |
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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.