Etmc First Physician Clinic Carthage

LBN: East Texas Medical Center Carthage
Etmc First Physician Clinic Carthage is an health care organization with primary practice located at 702 Davis St , Carthage TX 75633-1460. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Family Planning Facility, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is 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
702 Davis St Carthage TX 75633-1460
Fax: (903) 694-4633
Website:
Authorized official contact:
Name: Hudson, Gary M

Profile Details

NPI number 1649342650
LBN Legal business name East Texas Medical Center Carthage
DBA Doing business as Etmc First Physician Clinic Carthage
Authorized official Hudson, Gary M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Oct 26th, 2007 - about 17 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 1649342650 NPPES
Texas Other 00374K BLUE CROSS OF TEXAS

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