D/B/A Healthcenter On 1417

LBN: Sherman Grayson Hospital Llc
D/B/A Healthcenter On 1417 is an health care organization with primary practice located at 1000 S Fm 1417 , Sherman TX 75092-4865. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Hospitals / General Acute Care Hospital. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Sherman Grayson Hospital Llc can be contacted via phone (903) 870-4611, or through Reynolds, Vance Vernon via phone (903) 870-4591.

Contact Information

Primary practice address
1000 S Fm 1417 Sherman TX 75092-4865
Phone: (903) 870-4611
Fax: (903) 891-2030
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Vance Vernon
Phone: (903) 870-4591

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1902840333
LBN Legal business name Sherman Grayson Hospital Llc
DBA Doing business as D/B/A Healthcenter On 1417
Authorized official Reynolds, Vance Vernon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 21st, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902840333 NPPES
Texas Other 00U24J BLUE CROSS BLUE SHIELD
Texas Other 018042401 BLUE CROSS BLUE SHIELD
Texas MEDICAID 063537701 BLUE CROSS BLUE SHIELD

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