East Texas Medical Center Specialty Hospital

LBN: East Texas Medical Center Specialty Hospital
East Texas Medical Center Specialty Hospital is an health care organization with primary practice located at 1000 S Beckham Ave 5Th Floor, Tyler TX 75701-1908. The organization recently has only one registered license in Hospitals / Long Term Care Hospital, which is considered as the primary health care specialty. East Texas Medical Center Specialty Hospital can be contacted via phone (903) 596-3258, or through Howard, Eddie L via phone (903) 596-3258.

Contact Information

Primary practice address
1000 S Beckham Ave 5Th Floor Tyler TX 75701-1908
Phone: (903) 596-3258
Fax: (903) 596-3006
Website:
Map and Directions
Authorized official contact:
Name: Howard, Eddie L
Phone: (903) 596-3258

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Long Term Care Hospital 282E00000X 000777 Texas

Profile Details

NPI number 1619092780
LBN Legal business name East Texas Medical Center Specialty Hospital
DBA Doing business as East Texas Medical Center Specialty Hospital
Authorized official Howard, Eddie L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Sep 23rd, 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 1619092780 NPPES
Texas MEDICAID 020812603

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