EAST TEXAS MEDICAL CENTER PITTSBURG (NPI# 1720037559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720037559 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER PITTSBURG |
| Other Organization Name | ETMC PITTSBURG |
| Practice Address |
2701 U.S. Hwy 271 N Pittsburg TX 75686-4289 |
| Mailing Address |
P.o. Box 1304 Pittsburg TX 75686-2203 |
| Practice Telephone | 9039465000 |
| Practice Fax Number | 9039465598 |
| Mailing Telephone | 9039465519 |
| Mailing Fax Number | 9039465531 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | MR. W PERRY HENDERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9038564501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | NA | TX | Hospital Units |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
000438 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 138374701 | 05 | |
| BCBS | C635 | 01 | |
| PALMETTO GBA | CF8842 | 01 | |
| BCBS | HH0096 | 01 | |
| BCBS | 00J75T | 01 | |
| TX | 138374706 | 05 |
| Other Name | Type Code |
|---|---|
| ETMC Pittsburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194877340 | East Texas Medical Center Pittsburg | Clinic/Center | 402 S Greer Blvd, Pittsburg, TX 75686-1700 | 2007-01-17 |
| 1790897189 | East Texas Medical Center Pittsburg | Clinic/Center | 506 South State Hwy 37, Mt Vernon, TX 75457-0477 | 2006-08-31 |
| 1730188822 | East Texas Medical Center Pittsburg | Home Health | 208 Lafayette St, Pittsburg, TX 75686-1630 | 2005-07-20 |
| 1518015908 | East Texas Medical Center Pittsburg | Clinic/Center | 2701 U.S. Hwy 271 N, Pittsburg, TX 75686-4289 | 2007-01-08 |
| Street Address |
2701 U.S. HWY 271 N |
| City | PITTSBURG |
| State | TX |
| Zip Code | 75686-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518015908 | East Texas Medical Center Pittsburg | Clinic/Center | 2701 U.S. Hwy 271 N, Pittsburg, TX 75686-4289 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245866508 | Stayce Wade Phillips | Physical Therapy Assistant | 2801 Hwy 271 N., Pittsburg, TX 75686 | 2020-03-19 |
| 1891321279 | Sally Bagley Andrews | Physical Therapist | 2801 Us Hwy 271 N, Pittsburg, TX 75686 | 2020-03-18 |
| 1669968889 | Camp County Dental Pllc | Dentist | 113 M L King Jr Ave, Pittsburg, TX 75686 | 2018-07-11 |
| 1326174426 | Camp County Ambulance Service | Ambulance | 122 E Church St, Pittsburg, TX 75686 | 2007-02-26 |
| 1134237290 | Terence Aloysius Cook | Dentist | 113 North Avenue, Pittsburg, TX 75686 | 2006-08-29 |
| 1689639098 | Larry J Richardson | Dentist | 108 Mt Pleasant, Pittsburg, TX 75686 | 2006-04-19 |
| 1477180636 | Guy Deluna | Physical Therapist | 2801 Us Hwy 271 N, Pittsburg, TX 75686 | 2020-03-26 |
| 1992802201 | Virginia R. Thurman | Counselor | 424 Henderson St., Pittsburg, TX 75686-0596 | 2006-09-20 |
| 1467937557 | Jessica Rubit Garcia | Licensed Vocational Nurse | 311 Fairview St, Pittsburg, TX 75686-1013 | 2018-09-25 |
| 1124050125 | Stephen R Creme' | Emergency Medicine | 414 Quitman St, Pittsburg, TX 75686-1032 | 2006-07-07 |
| Find all providers in zip 75686 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132524 | Pittsburg Hospital LLC | General Acute Care Hospital | 2701 Us Highway 271 N, Pittsburg, TX 75686-4289 | 2018-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1164772216 | Methodist West Houston Hospital | General Acute Care Hospital | 5807 Grand Saline Dr, Richmond, TX 77469-6173 | 2012-09-17 |
| 1528367356 | Liberty County Hospital District No 1 | General Acute Care Hospital | 1353 N Travis, Liberty, TX 77575-3549 | 2011-03-18 |
| 1669613105 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 1404 Savoy Ct, Colleyville, TX 76034-6267 | 2009-03-12 |
| 1578724811 | Vaishali Kawaduji Bhusari | General Acute Care Hospital | 4555 Lorraine Ave, Dallas, TX 75205-3612 | 2008-06-19 |
| 1548457682 | Audie Murphy Va Hospital | General Acute Care Hospital | 4041 Merton Minter, San Antonio, TX 78229 | 2007-10-03 |
| 1033309323 | George Daniel Williamson | General Acute Care Hospital | 5087 E State Highway 22, Hamilton, TX 76531-1355 | 2007-08-01 |
| 1396861324 | Dr. Carlos F. Morales Md. | General Acute Care Hospital | 4414 Centerview Dr., Ste 168, San Antonio, TX 78228-1404 | 2007-03-21 |
| 1780786699 | Palacios Community Medical Center | General Acute Care Hospital | 311 Green Ave, Palacios, TX 77465-3213 | 2006-09-01 |
| 1033229778 | Va Hospital | General Acute Care Hospital | 8222 Lone Bridge Ln, Humble, TX 77338-1726 | 2006-08-30 |
| 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.