Etmc Crockett Family Medical Center Rhc

LBN: East Texas Medical Center
Etmc Crockett Family Medical Center Rhc is an health care organization with primary practice located at 1100 E Loop 304 Suite 200, Crockett TX 75835-1810. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. East Texas Medical Center can be contacted via phone (936) 544-5132, or through Cutler, Terry via phone (936) 546-3862.

Contact Information

Primary practice address
1100 E Loop 304 Suite 200 Crockett TX 75835-1810
Phone: (936) 544-5132
Fax: (936) 544-3792
Website:
Map and Directions
Authorized official contact:
Name: Cutler, Terry
Phone: (936) 546-3862

Health care specialties

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

Profile Details

NPI number 1962483453
LBN Legal business name East Texas Medical Center
DBA Doing business as Etmc Crockett Family Medical Center Rhc
Authorized official Cutler, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Feb 24th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962483453 NPPES
Texas MEDICAID 095181602

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