Crockett Medical Center

LBN: Crockett Medical Center, Llc
Crockett Medical Center is an health care organization with primary practice located at 1100 E Loop 304 , Crockett TX 75835-1810. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Crockett Medical Center, Llc can be contacted via phone (512) 617-7505, or through Tjelmeland, Kelly via phone (512) 617-7505.

Contact Information

Primary practice address
1100 E Loop 304 Crockett TX 75835-1810
Fax:
Website:
Authorized official contact:
Name: Tjelmeland, Kelly

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X
Hospitals / Critical Access 282NC0060X

Profile Details

NPI number 1114435260
LBN Legal business name Crockett Medical Center, Llc
DBA Doing business as Crockett Medical Center
Authorized official Tjelmeland, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2018
Last updated Apr 17th, 2019 - about 6 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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