SHERMAN GRAYSON HOSPITAL LLC (NPI# 1902840333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902840333 |
Entity Type | Organization |
Organization Name | SHERMAN GRAYSON HOSPITAL LLC |
Other Organization Name | D/B/A HEALTHCENTER ON 1417 |
Practice Address |
1000 S Fm 1417 Sherman TX 75092-4865 |
Mailing Address |
119 W Houston St Sherman TX 75090-5909 |
Practice Telephone | 9038704611 |
Practice Fax Number | 9038912030 |
Mailing Telephone | 9038917000 |
Mailing Fax Number | 9038131479 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2011-06-21 |
Authorized Official Name | MR. VANCE VERNON REYNOLDS (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 9038704591 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 282N00000X | General Acute Care Hospital | Hospitals | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 063537701 | 05 | |
TX | BLUE CROSS BLUE SHIELD | 00U24J | 01 |
TX | TX MEDICAID T-STEPS | 018042401 | 01 |
Other Name | Type Code |
---|---|
D/B/A Healthcenter on 1417 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659315034 | Sherman Grayson Hospital LLC | Nurse Anesthetist, Certified Registered | 500 N Highland, Sherman, TX 75092 | 2006-06-15 |
1528348489 | Sherman Grayson Hospital LLC | Psychiatric Unit | 1111 Gallagher Dr, Sherman, TX 75090-1713 | 2011-08-24 |
1013957836 | Sherman Grayson Hospital LLC | Psychiatric Unit | 500 N Highland Ave, Sherman, TX 75092-7354 | 2006-06-08 |
Street Address |
1000 S FM 1417 |
City | SHERMAN |
State | TX |
Zip Code | 75092-4865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457433013 | Jennifer L Miller | Licensed Vocational Nurse | 1000 S Fm 1417, Sherman, TX 75092-4865 | 2006-10-20 |
1245248608 | Raymond J Mailloux | Family Medicine | 1000 S Fm 1417, Sherman, TX 75092-4865 | 2006-08-03 |
1295749414 | Jon Christian Fulkerson | Licensed Vocational Nurse | 1000 S Fm 1417, Sherman, TX 75092-4865 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447869953 | Stokes & Carter Orthodontics, LLP | Clinic/Center | 2921 N. Heritage Parkway, Ste. 200, Sherman, TX 75092 | 2020-07-30 |
1033684543 | Brittany Shyrell Brown | Nurse Practitioner | 140 W. Lamberth Rd Ste. C, Sherman, TX 75092 | 2018-10-11 |
1134675333 | Sherman Select, LLC | Clinic/Center | 4226 Us Highway 75, North, Sherman, TX 75092 | 2016-08-28 |
1164884789 | Michelle Kay Triche | Nurse Practitioner | 1000 S. Heritage Parkway, Sherman, TX 75092 | 2016-03-23 |
1295109858 | Stokes Orthodontics | Dentist | 2921 N. Heritage Parkway, Suite 200, Sherman, TX 75092 | 2015-11-19 |
1851771810 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2210 N F.m. 1417, Sherman, TX 75092 | 2015-06-04 |
1629314133 | Ashley Nicole White | Counselor | 8370 Us Highway 82, Sherman, TX 75092 | 2013-01-02 |
1831452978 | M. Sue Jennings | Counselor | 402 W. Lamar St, Suite 104, Sherman, TX 75092 | 2012-06-22 |
1437447562 | Oscar Villafane | Optometrist | Long Vision Center, 2203 N Heritage Pkwy, Sherman, TX 75092 | 2011-07-11 |
1043443062 | Angela Renee Wright | Registered Nurse | 3415 North Heritage Parkway, Sherman, TX 75092 | 2009-08-25 |
Find all providers in zip 75092 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
1770627846 | Sherman Family Clinic | Clinic/Center | 608 Hwy 178, Sherman, MS 38869-0325 | 2007-02-20 |
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 |
Please comment or provide details below to improve the information on SHERMAN GRAYSON HOSPITAL LLC.
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.