EAST TEXAS MEDICAL CENTER JACKSONVILLE


Address: 501 S Ragsdale St, Jacksonville, TX 75766-2467
Phone: 9035415000

EAST TEXAS MEDICAL CENTER JACKSONVILLE (NPI# 1285689133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285689133
Entity Type Organization
Organization Name EAST TEXAS MEDICAL CENTER JACKSONVILLE
Practice Address 501 S Ragsdale St
Jacksonville
TX 75766-2467
Practice Telephone 9035415000
Practice Fax Number 9035415067
Mailing Telephone 9035415000
Mailing Fax Number 9035415067
Enumeration Date 2006-05-22
Last Update Date 2010-12-02
Authorized Official Name MR. JACK R ENDRES (ADMINISTRATOR)
Authorized Official Telephone 9035415000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital 000416 TX Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS PROVIDER NUMBER 00J11A 01
TX BCBS PROVIDER NUMBER HH0170 01
TX 130612806 05
TX 201848301 05
TX 130612801 05
TX 130612804 05
TX DBA ETMC FIRST PHYSICIANS CLINIC RUSK 1972827822 01
TX DBA ETMC FIRST PHYSICIANS CLINIC FRANKSTON 1023342755 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023342755 East Texas Medical Center Jacksonville Clinic/Center 580 North Frankston Highway, Frankston, TX 75763-2654 2009-09-29
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

Office Location

Street Address 501 S RAGSDALE ST
City JACKSONVILLE
State TX
Zip Code 75766-2467

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982692869 Tri-county Anesthesia Associates, Pa Nurse Anesthetist, Certified Registered 501 S Ragsdale St, Jacksonville, TX 75766-2434 2005-10-13
1306346796 Jacksonville Hospital LLC Internal Medicine 501 S Ragsdale St, Jacksonville, TX 75766-2434 2018-02-13
1730697350 Jacksonville Hospital LLC General Acute Care Hospital 501 S Ragsdale St, Jacksonville, TX 75766-2434 2018-01-17
1699928069 Daniel C. Bennett Md Pa Radiology 501 S Ragsdale St, Etmc Jacksonville Radiology Department, Jacksonville, TX 75766-2434 2008-10-29
1497934319 Paul Alan Hobus Md Pa Anesthesiology 501 S Ragsdale St, Jacksonville, TX 75766-2434 2007-10-26
1831275296 Paul Alan Hobus Anesthesiology 501 S Ragsdale St, Jacksonville, TX 75766-2434 2006-10-28
1639280795 Todd Campbell Md Pa Radiology 501 S Ragsdale St, Jacksonville, TX 75766-2434 2006-08-31
1477575660 David Newsom Nurse Anesthetist, Certified Registered 501 S Ragsdale St, Jacksonville, TX 75766-2434 2006-07-24
1669416467 Donald Victor Mcgraw Family Medicine 501 S Ragsdale St, Jacksonville, TX 75766-2467 2006-06-15
1114967577 Cherokee Emergency Medicine Associates Pa Physician Assistant 501 S Ragsdale St, Jacksonville, TX 75766-2434 2006-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770062788 David Rentz Occupational Therapy Assistant 838 Brown St., Jacksonville, TX 75766 2018-08-09
1295233146 Amanda Dawn Anderson Licensed Vocational Nurse Fm 347, Jacksonville, TX 75766 2018-01-25
1467896241 Christopher Mark Sirianni Anesthesiology 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 2013-04-23
1164703047 Aegis Psychological Consulting LLC Psychologist 208 E. Rusk St., Jacksonville, TX 75766 2011-09-06
1952697872 Melissa Springmeyer Family Medicine 2026 South Jacksonville Street, Jacksonville, TX 75766 2011-06-20
1306031018 Michael Kay Moore Occupational Therapist 4155 Cr 3908, Jacksonville, TX 75766 2007-09-06
1730398827 Cherokee County Health Department Public Health or Welfare 510 East Commerce, Jacksonville, TX 75766 2007-05-22
1568689545 Mary Alice Bone Preventive Medicine 510 E. Commerce, Jacksonville, TX 75766 2007-04-19
1619093176 Assisted Living Concepts Inc Assisted Living Facility 211 Phillip Street, Jacksonville, TX 75766 2007-03-22
1265560767 Anderson Cherokee Community Enrichment Services Counselor 1011 College Ave, Jacksonville, TX 75766 2007-02-28
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528683257 Gainesville Vamc General Acute Care Hospital 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 2020-06-09
1922487974 Shemaka James General Acute Care Hospital 5202 Wabash Blvd, Jacksonville, FL 32254-1366 2015-05-22
1962893149 Michelle Porter General Acute Care Hospital 402 Stagecoach Dr, Jacksonville, NC 28546-8663 2015-02-10
1811246390 St. Vincent's Healthcare General Acute Care Hospital 3 Shircliff Way Ste 714, Jacksonville, FL 32204-4786 2012-08-30
1255570974 Svila Skin Solutions General Acute Care Hospital 1936 San Marco Blvd, Jacksonville, FL 32207-3286 2009-02-19
1760644009 Walter Ruday Jr. General Acute Care Hospital 2748 University Blvd W, Jacksonville, FL 32217-2123 2008-06-27
1386801116 Abdolreza Mohammadian General Acute Care Hospital 1536 N.jefferson Street, Va Outpatient Clinic, Jacksonville, FL 32209-0000 2008-05-20
1861451114 Allegiance Hospital of North Little Rock, LLC General Acute Care Hospital 1400 Braden St., Jacksonville, AR 72076 2006-03-23
1730697350 Jacksonville Hospital LLC General Acute Care Hospital 501 S Ragsdale St, Jacksonville, TX 75766-2434 2018-01-17
1144735069 Brynn Marr Hospital - Navy Resource Sharing General Acute Care Hospital 192 Village Dr, Jacksonville, NC 28546-7238 2017-12-14
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Competitor

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City JACKSONVILLE
Zip Code 75766

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Dataset Information

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.

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