East Texas Medical Center Athens

LBN: East Texas Medical Center Athens
East Texas Medical Center Athens is an health care organization with primary practice located at 2000 S Palestine St , Athens TX 75751-5610. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Rural Health, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. East Texas Medical Center Athens can be contacted via phone (903) 675-2216, or through Wallace, Pat via phone (903) 675-1000.

Contact Information

Primary practice address
2000 S Palestine St Athens TX 75751-5610
Phone: (903) 675-2216
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Pat
Phone: (903) 675-1000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 000374 Texas
Ambulatory Health Care Facilities / Rural Health 261QR1300X 000374 Texas
Hospitals / General Acute Care Hospital 282N00000X 000374 Texas

Profile Details

NPI number 1356320873
LBN Legal business name East Texas Medical Center Athens
DBA Doing business as
Authorized official Wallace, Pat
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2006
Last updated Dec 5th, 2013 - about 12 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 1356320873 NPPES
Texas MEDICAID 139713209
Texas Other 0088DQ
Texas MEDICAID 139173207
Texas Other HH0406
Texas MEDICAID 139173211
Texas MEDICAID 139173213

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