Etmc First Physicians Clinic Center Iii

LBN: East Texas Medical Center Carthage
Etmc First Physicians Clinic Center Iii is an health care organization with primary practice located at 305 Cottage Rd , Carthage TX 75633-1511. 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 (936) 590-4035, or through Hudson, Gary M via phone (903) 694-4652.

Contact Information

Primary practice address
305 Cottage Rd Carthage TX 75633-1511
Phone: (936) 590-4035
Fax: (936) 590-4146
Website:
Map and Directions
Authorized official contact:
Name: Hudson, Gary M
Phone: (903) 694-4652

Health care specialties

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

Profile Details

NPI number 1629314539
LBN Legal business name East Texas Medical Center Carthage
DBA Doing business as Etmc First Physicians Clinic Center Iii
Authorized official Hudson, Gary M
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 20th, 2012
Last updated Aug 14th, 2014 - about 11 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 1629314539 NPPES
Texas MEDICAID 3187015-02
Texas MEDICAID 3187015-01

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