East Texas Medical Center Jacksonville
LBN: East Texas Medical Center Jacksonville
East Texas Medical Center Jacksonville is an health care organization with primary practice located at 501 S Ragsdale St , Jacksonville TX 75766-2467. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty.
East Texas Medical Center Jacksonville can be contacted via phone (903) 541-5000, or through Endres, Jack R via phone (903) 541-5000.
Contact Information
Primary practice address
501 S Ragsdale St
Jacksonville TX 75766-2467
Phone: (903) 541-5000
Fax: (903) 541-5067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / General Acute Care Hospital | 282N00000X | 000416 | Texas |
Profile Details
| NPI number | 1285689133 |
|---|---|
| LBN Legal business name | East Texas Medical Center Jacksonville |
| DBA Doing business as | |
| Authorized official | Endres, Jack R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Dec 2nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285689133 | NPPES |
| Texas | MEDICAID | 130612801 | |
| Texas | Other | 00J11A | |
| Texas | Other | 1972827822 | |
| Texas | Other | HH0170 | |
| Texas | MEDICAID | 130612806 | |
| Texas | MEDICAID | 130612804 | |
| Texas | MEDICAID | 201848301 | |
| Texas | Other | 1023342755 |
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