Etmc First Physicians Clinic Mount Vernon
LBN: East Texas Medical Center Pittsburg
Etmc First Physicians Clinic Mount Vernon is an health care organization with primary practice located at 506 South State Hwy 37 , Mt Vernon TX 75457-0477. 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 Pittsburg can be contacted via phone (903) 537-8222, or through Henderson, William P via phone (903) 537-8000.
Contact Information
Primary practice address
506 South State Hwy 37
Mt Vernon TX 75457-0477
Phone: (903) 537-8222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | F4587 | Texas |
Profile Details
| NPI number | 1790897189 |
|---|---|
| LBN Legal business name | East Texas Medical Center Pittsburg |
| DBA Doing business as | Etmc First Physicians Clinic Mount Vernon |
| Authorized official | Henderson, William P |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 23rd, 2015 - about 9 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 | 1790897189 | NPPES |
| Texas | MEDICAID | 136140406 | |
| Texas | Other | 00L04L | |
| Texas | MEDICAID | 136140410 | |
| Texas | MEDICAID | 136140408 |
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