East Texas Medical Center Health Clinic Carthage

LBN: East Texas Medical Center Carthage
East Texas Medical Center Health Clinic Carthage is an health care organization with primary practice located at 409 Cottage Rd , Carthage TX 75633-1466. 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 Carthage can be contacted via phone (903) 693-3841, or through Hudson, Gary M via phone (903) 693-3841.

Contact Information

Primary practice address
409 Cottage Rd Carthage TX 75633-1466
Phone: (903) 693-3841
Fax: (903) 694-4633
Website:
Map and Directions
Authorized official contact:
Name: Hudson, Gary M
Phone: (903) 693-3841

Health care specialties

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

Profile Details

NPI number 1215003116
LBN Legal business name East Texas Medical Center Carthage
DBA Doing business as East Texas Medical Center Health Clinic Carthage
Authorized official Hudson, Gary M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2006
Last updated Aug 14th, 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 1215003116 NPPES
Texas MEDICAID 063445303
Texas Other 00374K
Texas MEDICAID 063445302

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