Etmc Physicans Clinic

LBN: East Texas Medical Center Gilmer
Etmc Physicans Clinic is an health care organization with primary practice located at 1402 Linda Dr , Daingerfield TX 75638-2132. 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 Gilmer can be contacted via phone (903) 841-7100, or through O'Gorman, Thomas M via phone (903) 856-4520.

Contact Information

Primary practice address
1402 Linda Dr Daingerfield TX 75638-2132
Phone: (903) 841-7100
Fax: (903) 841-7286
Website:
Map and Directions
Authorized official contact:
Name: O'Gorman, Thomas M
Phone: (903) 856-4520

Health care specialties

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

Profile Details

NPI number 1619124658
LBN Legal business name East Texas Medical Center Gilmer
DBA Doing business as Etmc Physicans Clinic
Authorized official O'Gorman, Thomas M
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 21st, 2008
Last updated Oct 27th, 2008 - 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 1619124658 NPPES
Texas Other 453406 MEDICARE RURAL HEALTH CLINIC
Texas MEDICAID 168447408 MEDICARE RURAL HEALTH CLINIC
Texas MEDICAID 168447406 MEDICARE RURAL HEALTH CLINIC

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