East Texas Medical Center Fairfield

LBN: East Texas Medical Center Fairfield
East Texas Medical Center Fairfield is an health care organization with primary practice located at 125 Newman St , Fairfield TX 75840-1419. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Rural Health, Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. East Texas Medical Center Fairfield can be contacted via phone (903) 389-2121, or through Cook, Raz via phone (903) 389-1616.

Contact Information

Primary practice address
125 Newman St Fairfield TX 75840-1419
Phone: (903) 389-2121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cook, Raz
Phone: (903) 389-1616

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 000401 Texas
Ambulatory Health Care Facilities / Rural Health 261QR1300X 000401 Texas
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X 000401 Texas
Hospitals / General Acute Care Hospital 282N00000X 000401 Texas

Profile Details

NPI number 1578542098
LBN Legal business name East Texas Medical Center Fairfield
DBA Doing business as
Authorized official Cook, Raz
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2006
Last updated May 26th, 2010 - about 15 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 1578542098 NPPES
Texas MEDICAID 063474302
Texas Other HH0713
Texas MEDICAID 063474301
Texas MEDICAID 094190802
Texas Other 0098DQ
Texas MEDICAID 094190801

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