EAST TEXAS MEDICAL CENTER QUITMAN (NPI# 1508871245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508871245 |
Entity Type | Organization |
Organization Name | EAST TEXAS MEDICAL CENTER QUITMAN |
Other Organization Name | ETMC FIRST PHYSICIANS CLINIC QUITMAN |
Practice Address |
117 N Winnsboro St Quitman TX 75783-2144 |
Mailing Address |
Po Box 1304 Pittsburg TX 75686-2203 |
Practice Telephone | 9037636220 |
Practice Fax Number | 9039465531 |
Mailing Telephone | 9037636220 |
Mailing Fax Number | 9039465531 |
Enumeration Date | 2006-07-30 |
Last Update Date | 2014-08-06 |
Authorized Official Name | MR. WILLIAM P HENDERSON (VP AFFILIATE OPERATIONS) |
Authorized Official Telephone | 9039465500 |
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 | 172427001 | 05 | |
TX | 172427002 | 05 |
Other Name | Type Code |
---|---|
ETMC First Physicians Clinic Quitman | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508871278 | East Texas Medical Center Quitman | Clinic/Center | 1220 N Pacific St, Mineola, TX 75773-1054 | 2006-07-30 |
1639184369 | East Texas Medical Center Quitman | Clinic/Center | 1220 N Pacific Ave, Ste 2, Mineola, TX 75773-1054 | 2006-07-30 |
1134115660 | East Texas Medical Center Quitman | Clinic/Center | 113 W Main St, Van, TX 75790-2883 | 2005-09-20 |
1396748430 | East Texas Medical Center Quitman | General Acute Care Hospital | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2005-05-23 |
1447615943 | East Texas Medical Center Quitman | Clinic/Center | 801 N Waldrip St, Grand Saline, TX 75140-1024 | 2015-12-28 |
1730513672 | East Texas Medical Center Quitman | Clinic/Center | 711 Titus St, Gilmer, TX 75644-1738 | 2013-08-28 |
Street Address |
117 N WINNSBORO ST |
City | QUITMAN |
State | TX |
Zip Code | 75783-2144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396748430 | East Texas Medical Center Quitman | General Acute Care Hospital | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2005-05-23 |
1780227496 | Cassie Laine Hampton | Nurse Practitioner | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2019-10-25 |
1629571773 | Quitman Hospital LLC | Nurse Anesthetist, Certified Registered | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2018-03-15 |
1205336609 | Quitman Hospital LLC | Internal Medicine | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2018-02-13 |
1306345764 | Quitman Hospital LLC | Clinic/Center | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2018-02-12 |
1477061885 | Quitman Hospital LLC | General Acute Care Hospital | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2018-01-19 |
1821502931 | Adam Don Switzer | Nurse Practitioner | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2017-11-28 |
1699289785 | East Texas Medical Center | Clinic/Center | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2017-11-28 |
1992010557 | Ronald L Daniels Do Pa | Clinic/Center | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2010-08-07 |
1902095177 | George V Cathey, M.d., P.a. | Family Medicine | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2007-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063061901 | Jerry Brown | Technician | 429 Cr 1448, Quitman, TX 75783 | 2019-09-04 |
1154833416 | Interventional Spine Associates Pa | Pain Medicine | 709 E Goode St, Suite 300, Quitman, TX 75783 | 2017-10-26 |
1710050042 | Brookshire Grocery Company | Pharmacy | 502c East Goode, Attention Pharmacy Dept, Quitman, TX 75783 | 2006-11-16 |
1952933152 | Scott's Quitman Pharmacy, LLC | Pharmacy | 310 E Goode St, Ste E, Quitman, TX 75783 | 2020-02-06 |
1780969592 | Alba-golden Isd | Local Education Agency (LEA) | 209 Conger, Quitman, TX 75783 | 2011-10-13 |
1932121027 | Gregory S Eberhart | Dentist | 208 South Main Street, Quitman, TX 75783 | 2006-07-24 |
1932439262 | Foot Clinic of East Texas, PC | Podiatrist | 711 E Goode St, Quitman, TX 75783-1623 | 2010-01-08 |
1225117419 | Jordan & Gillis Inc | Skilled Nursing Facility | 1026 E Goode St, Quitman, TX 75783-1641 | 2006-11-06 |
1780149401 | Ls Quitman Operator LLC | Skilled Nursing Facility | 1026 E Goode St, Quitman, TX 75783-1641 | 2019-02-06 |
1134600372 | Rolando Fabian | Occupational Therapy Assistant | 1026 E Goode St, Quitman, TX 75783-1641 | 2018-08-26 |
Find all providers in zip 75783 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922039833 | Brooks County Hospital | Clinic/Center | 907 N Court St, Quitman, GA 31643-1315 | 2006-07-06 |
1306345764 | Quitman Hospital LLC | Clinic/Center | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2018-02-12 |
1699289785 | East Texas Medical Center | Clinic/Center | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2017-11-28 |
1497949341 | Christus Trinity Clinic | Clinic/Center | 502 E Goode St Ste 1e, Quitman, TX 75783-2539 | 2007-09-04 |
1053371500 | Rush Care, Inc. | Clinic/Center | 305 S Archusa Ave, Quitman, MS 39355-2325 | 2006-03-27 |
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 |
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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.