CARTHAGE HOSPITAL, LLC (NPI# 1639678030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639678030 |
| Entity Type | Organization |
| Organization Name | CARTHAGE HOSPITAL, LLC |
| Practice Address |
702 North Davis Drive Carthage TX 75633-1460 |
| Mailing Address |
1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 |
| Practice Telephone | 9036944790 |
| Practice Fax Number | 9036944621 |
| Mailing Telephone | 6152963000 |
| Mailing Fax Number | 6152966227 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-08-31 |
| Authorized Official Name | STEPHEN C. PETROVICH (EVP) |
| Authorized Official Telephone | 6152963000 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184125908 | Carthage Hospital, LLC | Nurse Anesthetist, Certified Registered | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-27 |
| 1225538614 | Carthage Hospital, LLC | Internal Medicine | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-13 |
| 1598264954 | Carthage Hospital, LLC | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-12 |
| 1407355860 | Carthage Hospital, LLC | Clinic/Center | 305 Cottage Rd, Carthage, TX 75633-1511 | 2018-02-12 |
| 1538667035 | Carthage Hospital, LLC | General Acute Care Hospital | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-01-30 |
| Street Address |
702 NORTH DAVIS DRIVE |
| City | CARTHAGE |
| State | TX |
| Zip Code | 75633-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1770666208 | Prakash Malviya | Pediatrics | 409 Cottage Road, Etmc, Carthage, TX 75633 | 2006-10-20 |
| 1457448011 | Johnny Edwin Majors | Dentist | 103 North Sycamore, Carthage, TX 75633 | 2006-10-06 |
| 1740374164 | Clayton H. Brakeville | Physical Therapist | 107 S. Daniels St, Carthage, TX 75633 | 2006-10-02 |
| 1205927761 | Dennis D Golden Sr. | Optometrist | 105 Cottage Rd, Carthage, TX 75633 | 2006-09-27 |
| 1770685059 | Tom M Jones | Dentist | 311 West Sabine, Carthage, TX 75633 | 2006-09-05 |
| 1124037031 | Izzy Inc | Durable Medical Equipment & Medical Supplies | 106 N Shelby St, Carthage, TX 75633 | 2006-08-07 |
| 1699705756 | Iraj Roshan | Internal Medicine | 1519 W Panola St, Carthage, TX 75633 | 2006-07-04 |
| 1073504437 | Charles Deron Lewis | Durable Medical Equipment & Medical Supplies | 310 N Adams Street, Carthage, TX 75633 | 2005-11-03 |
| 1538157300 | Slp Carthage LLC | Skilled Nursing Facility | 701 S Market St, Carthage, TX 75633 | 2005-10-06 |
| Find all providers in zip 75633 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750944310 | Carthage Area Hospital, Inc. | Clinic/Center | 22075 Constitution Drive, Carthage, NY 13619 | 2019-04-19 |
| 1194861260 | Baptist Medical Center - Leake, Inc. | Clinic/Center | 1100 Hwy 16 East, Carthage, MS 39051-3809 | 2007-01-29 |
| 1205887742 | Memorial Hospital Association | Clinic/Center | 403 S Adams St, Suite 239, Carthage, IL 62321-1624 | 2006-05-12 |
| 1588614002 | Memorial Hospital Association | Clinic/Center | 1450 N County Rd 2050, Carthage, IL 62321-0160 | 2006-05-12 |
| 1255984266 | Riverview Medical Center LLC | Clinic/Center | 133 Hospital Dr Ste 500, Carthage, TN 37030-4020 | 2019-07-18 |
| 1184128563 | Carthage Area Hospital Inc | Clinic/Center | 21957 Cole Rd, Carthage, NY 13619-9622 | 2018-03-21 |
| 1598264954 | Carthage Hospital, LLC | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-12 |
| 1407355860 | Carthage Hospital, LLC | Clinic/Center | 305 Cottage Rd, Carthage, TX 75633-1511 | 2018-02-12 |
| 1104229186 | Sgoh Acquisition, Inc. | Clinic/Center | 327 E Airport Dr, Carthage, MO 64836-3402 | 2014-10-03 |
| 1629314539 | East Texas Medical Center Carthage | Clinic/Center | 305 Cottage Rd, Carthage, TX 75633-1511 | 2012-12-20 |
| Find all providers in CARTHAGE | ||||
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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.