EAST TEXAS MEDICAL CENTER QUITMAN (NPI# 1508871278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508871278 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER QUITMAN |
| Other Organization Name | ETMC FIRST PHYSICIANS CLINIC MINEOLA |
| Practice Address |
1220 N Pacific St Mineola TX 75773-1054 |
| Mailing Address |
Po Box 1304 Pittsburg TX 75686-2203 |
| Practice Telephone | 9035696124 |
| Practice Fax Number | 9035692467 |
| Mailing Telephone | 9039465519 |
| Mailing Fax Number | 9039465531 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-08-17 |
| Authorized Official Name | MR. WARREN ROBICHEAUX (REGIONAL ADMINISTRATION) |
| 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 | 017624001 | 05 | |
| TX | 063351301 | 05 |
| Other Name | Type Code |
|---|---|
| ETMC First Physicians Clinic Mineola | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1508871245 | East Texas Medical Center Quitman | Clinic/Center | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2006-07-30 |
| Street Address |
1220 N PACIFIC ST |
| City | MINEOLA |
| State | TX |
| Zip Code | 75773-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205335726 | Quitman Hospital LLC | Clinic/Center | 1220 N Pacific St, Mineola, TX 75773-1054 | 2018-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368470 | J.l. Miguez, Inc. | Hearing Aid Equipment | 125 W. Broad Street, Mineola, TX 75773 | 2020-02-17 |
| 1063992709 | Revis Pernell | Licensed Vocational Nurse | 497 Cr 2363, Mineola, TX 75773 | 2018-08-21 |
| 1205338258 | Cricket Weber | Registered Nurse | 555 Private Road 6307, Mineola, TX 75773 | 2018-03-06 |
| 1942720354 | Heidi Leann Hoke | Nutritionist | 123 N. Line St., Mineola, TX 75773 | 2017-06-27 |
| 1083787865 | East Texas Rayon Services, LLC | Durable Medical Equipment & Medical Supplies | 5361 S State High Way 37, Mineola, TX 75773 | 2006-11-17 |
| 1902999113 | Johnny Allen Colegrove | Chiropractor | 1044 N Pacific, Mineola, TX 75773 | 2006-10-02 |
| 1679670731 | John Christopher Lee | Dentist | 223 N Graham, Mineola, TX 75773 | 2006-09-20 |
| 1154358638 | Jose Ricardo Martinez | Family Medicine | 5875 South Hwy. 37, Mineola, TX 75773 | 2006-06-28 |
| 1891167151 | Jamie Johnson | Nurse Practitioner | 1302 N Pacific St, Mineola, TX 75773 | 2015-10-27 |
| 1184941320 | Dan Riddle White | Dentist | 1800 South Pacific, Mineola, TX 75773 | 2010-04-28 |
| Find all providers in zip 75773 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639184369 | East Texas Medical Center Quitman | Clinic/Center | 1220 N Pacific Ave, Ste 2, Mineola, TX 75773-1054 | 2006-07-30 |
| 1205335726 | Quitman Hospital LLC | Clinic/Center | 1220 N Pacific St, Mineola, TX 75773-1054 | 2018-02-10 |
| 1275727125 | Christus Trinity Clinic | Clinic/Center | 1302 N Pacific St, Mineola, TX 75773-1022 | 2007-09-04 |
| 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.