EAST TEXAS MEDICAL CENTER QUITMAN (NPI# 1730513672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730513672 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER QUITMAN |
| Other Organization Name | ETMC FIRST PHYSICIANS CLINIC GILMER |
| Practice Address |
711 Titus St Gilmer TX 75644-1738 |
| Mailing Address |
Po Box 1304 Pittsburg TX 75686-2203 |
| Practice Telephone | 9038417300 |
| Practice Fax Number | 9038417373 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2015-02-23 |
| Authorized Official Name | MR. WILLIAM P HENDERSON (SENIOR ADMINISTRATOR) |
| Authorized Official Telephone | 9039465519 |
| 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 |
| Other Name | Type Code |
|---|---|
| ETMC First Physicians Clinic Gilmer | 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 |
| 1508871245 | East Texas Medical Center Quitman | Clinic/Center | 117 N Winnsboro St, Quitman, TX 75783-2144 | 2006-07-30 |
| Street Address |
711 TITUS ST |
| City | GILMER |
| State | TX |
| Zip Code | 75644-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487744827 | Mark S. Malone | Family Medicine | 711 Titus St, Gilmer, TX 75644-1738 | 2006-10-14 |
| 1003144452 | Elisa Martinez Morrison | Nurse Practitioner | 711 Titus St, Gilmer, TX 75644-1738 | 2009-11-23 |
| 1932341302 | Andrea L Loyd | Nurse Practitioner | 711 Titus St, Gilmer, TX 75644-1738 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124148457 | The Madera Corp | Assisted Living Facility | 1704 North Bradford St, Gilmer, TX 75644 | 2007-03-30 |
| 1225173420 | Eugene Ralston Foster | Family Medicine | 200 N Montgomery, Gilmer, TX 75644 | 2007-02-21 |
| 1700996501 | Jerald Wayne Walton | Dentist | 117 S Montgomery, Gilmer, TX 75644 | 2006-08-30 |
| 1245297365 | Nexion Health At Gilmer Inc | Skilled Nursing Facility | 623 Highway 155 North, Gilmer, TX 75644 | 2006-05-01 |
| 1790765188 | Jimmy Michael Taylor | Dentist | 409 W Tyler St, Gilmer, TX 75644 | 2006-01-20 |
| 1255324646 | Robert Arden Redelspergen Jr. | Pharmacist | East Texas Medical Center - Gilmen, Gilmen, TX 75644 | 2005-08-31 |
| 1770588774 | Gilmer Senior Care Lp | Skilled Nursing Facility | 703 N Titus, Gilmer, TX 75644 | 2005-06-16 |
| 1285637843 | David Warren Buller | Emergency Medicine | 602 N Titus, Suite 120, Gilmer, TX 75644 | 2005-05-27 |
| 1447440789 | Eugene R Foster Md Pa | Family Medicine | 200 N Montgomery, Gilmer, TX 75644 | 2007-08-01 |
| 1679662449 | J M Taylor Dds Inc | Dentist | 409 W Tyler St, Gilmer, TX 75644 | 2006-10-12 |
| Find all providers in zip 75644 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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.