East Texas Medical Center-Clarksville

LBN: East Texas Medical Center-Clarksville
East Texas Medical Center-Clarksville is an health care organization with primary practice located at 3000 W Main St , Clarksville TX 75426-3371. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. East Texas Medical Center-Clarksville can be contacted via phone (903) 427-6400, or through Henderson, William Perry via phone (903) 946-5500.

Contact Information

Primary practice address
3000 W Main St Clarksville TX 75426-3371
Phone: (903) 427-6400
Fax: (903) 427-2719
Website:
Map and Directions
Authorized official contact:
Name: Henderson, William Perry
Phone: (903) 946-5500

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X 000292 Texas

Profile Details

NPI number 1730114836
LBN Legal business name East Texas Medical Center-Clarksville
DBA Doing business as
Authorized official Henderson, William Perry
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 28th, 2013 - 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 1730114836 NPPES
Texas MEDICAID 130862901

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