East Texas Medical Center Quitman

LBN: East Texas Medical Center Quitman
East Texas Medical Center Quitman is an health care organization with primary practice located at 117 N Winnsboro St , Quitman TX 75783-2144. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. East Texas Medical Center Quitman can be contacted via phone (903) 763-6300, or through Henderson, William P via phone (903) 763-6336.

Contact Information

Primary practice address
117 N Winnsboro St Quitman TX 75783-2144
Fax: (903) 763-6140
Website:
Authorized official contact:
Name: Henderson, William P

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 000411 Texas

Profile Details

NPI number 1396748430
LBN Legal business name East Texas Medical Center Quitman
DBA Doing business as
Authorized official Henderson, William P
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Aug 6th, 2014 - 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 1396748430 NPPES
Texas MEDICAID 017624003
Texas MEDICAID 017624002

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