Crockett Medical Center Clinic

LBN: Crockett Medical Center, Llc
Crockett Medical Center Clinic is an health care organization with primary practice located at 1050 E Loop 304 Ste 201 , Crockett TX 75835-1814. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Crockett Medical Center, Llc can be contacted via phone (936) 546-3890, or through Tjelmeland, Kelly Eugene via phone (512) 617-7500.

Contact Information

Primary practice address
1050 E Loop 304 Ste 201 Crockett TX 75835-1814
Phone: (936) 546-3890
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tjelmeland, Kelly Eugene
Phone: (512) 617-7500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1003303983
LBN Legal business name Crockett Medical Center, Llc
DBA Doing business as Crockett Medical Center Clinic
Authorized official Tjelmeland, Kelly Eugene
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2018
Last updated Apr 17th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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