EAST TEXAS MEDICAL CENTER CARTHAGE (NPI# 1801975107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801975107 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER CARTHAGE |
| Other Organization Name | ETMC CARTHAGE |
| Practice Address |
409 Cottage Rd Carthage TX 75633-1466 |
| Mailing Address |
Po Box 549 Carthage TX 75633-0549 |
| Practice Telephone | 9036933841 |
| Practice Fax Number | 9036944633 |
| Mailing Telephone | 9036933841 |
| Mailing Fax Number | 9036944633 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY M HUDSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9036933841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | HH0490 | 01 |
| Other Name | Type Code |
|---|---|
| ETMC Carthage | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740435957 | East Texas Medical Center Carthage | Clinic/Center | 304 Logansport St, Center, TX 75935-3521 | 2008-12-02 |
| 1629314539 | East Texas Medical Center Carthage | Clinic/Center | 305 Cottage Rd, Carthage, TX 75633-1511 | 2012-12-20 |
| 1144552308 | East Texas Medical Center Carthage | General Practice | 304 Logansport St, Center, TX 75935-3521 | 2010-02-12 |
| 1558693341 | East Texas Medical Center Carthage | Internal Medicine | 1743 Southview Cir, Center, TX 75935-9324 | 2010-02-04 |
| 1891969663 | East Texas Medical Center Carthage | Clinic/Center | 1743 Southview Cir, Center, TX 75935-9324 | 2008-04-14 |
| 1306912209 | East Texas Medical Center Carthage | Medicare Defined Swing Bed Unit | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-24 |
| 1215003116 | East Texas Medical Center Carthage | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-24 |
| 1023182086 | East Texas Medical Center Carthage | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-20 |
| 1932271947 | East Texas Medical Center Carthage | Internal Medicine | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-14 |
| 1649342650 | East Texas Medical Center Carthage | Clinic/Center | 702 Davis St, Carthage, TX 75633-1460 | 2006-11-14 |
| Street Address |
409 COTTAGE RD |
| City | CARTHAGE |
| State | TX |
| Zip Code | 75633-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699760074 | Oak Hill Radiology Assoc Inc | Radiology | 409 Cottage Rd, Carthage, TX 75633-1466 | 2005-09-13 |
| 1386118628 | Melissa Dawn Walters | Nurse Practitioner | 409 Cottage Rd, Carthage, TX 75633-1466 | 2019-01-21 |
| 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 |
| 1538667035 | Carthage Hospital, LLC | General Acute Care Hospital | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-01-30 |
| 1457775645 | Lilly Michael | Physician Assistant | 409 Cottage Rd, Carthage, TX 75633-1466 | 2014-02-10 |
| 1306912209 | East Texas Medical Center Carthage | Medicare Defined Swing Bed Unit | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-24 |
| 1215003116 | East Texas Medical Center Carthage | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-24 |
| 1023182086 | East Texas Medical Center Carthage | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-20 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023061520 | Srhs Holdings LLC | General Acute Care Hospital | 158 Hospital Dr, Carthage, TN 37030-1083 | 2006-05-18 |
| 1831174804 | Leake County Board of Trustees | General Acute Care Hospital | 310 Ellis St, Carthage, MS 39051-3809 | 2005-12-13 |
| 1538667035 | Carthage Hospital, LLC | General Acute Care Hospital | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-01-30 |
| 1265754527 | Neurological Associates of The Four States | General Acute Care Hospital | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2010-02-26 |
| 1578693545 | Frank T Rutherford Hospital Inc | General Acute Care Hospital | 130 Lebanon Hwy, Carthage, TN 37030-2955 | 2007-03-07 |
| 1770509697 | Smith County Memorial Hospital, LLC | General Acute Care Hospital | 158 Hospital Dr, Carthage, TN 37030-1083 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233785 | Hendrick Medical Center Brownwood | General Acute Care Hospital | 1501 Burnett Rd, Brownwood, TX 76801-8520 | 2020-07-29 |
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
| 1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
| 1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
| 1841844735 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 806 Cupples Rd, San Antonio, TX 78237-4410 | 2019-07-29 |
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1669954194 | Southcross Hospital LLC | General Acute Care Hospital | 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 | 2018-08-31 |
| 1356822167 | Stat Emergency Center of Del Rio LLC | General Acute Care Hospital | 2600 Veterans Blvd, Del Rio, TX 78840-3108 | 2018-08-29 |
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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.