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EAST TEXAS MEDICAL CENTER-GILMER NPI 1295719227


NPI Information

NPI: 1295719227
Provider Name: EAST TEXAS MEDICAL CENTER-GILMER
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 45D0659696

Address:
712 N WOOD ST
GILMER, TX
ZIP 75644
Phone: (903) 841-7100
Get Directions

EAST TEXAS MEDICAL CENTER-GILMER is a general acute care hospital in Gilmer, TX. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. EAST TEXAS MEDICAL CENTER-GILMER NPI is 1295719227. The provider is registered as an organization entity type.

The provider's business location address is:

712 N WOOD ST
GILMER, TX
ZIP 75644-751
Phone: (903) 841-7100
Fax: (903) 946-5531

The provider's authorized official is Tambri L Rolston .
The authorized official title is Regional Director Of Business Ser and has the following contact phone number (903) 946-5500.

The CLIA number assigned to this NPI record is 45D0659696 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 3/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care Hospital008068TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1450884MEDICARE ID-TYPE UNSPECIFIEDTEXAS
20069NEOTHERTEXASRHC GROUP BCBS
3168447402MEDICAIDTEXAS
4HH1051OTHERTEXASBLUE CROSS
500C13VOTHERTEXASPHYSICIAN BCBS
600042ZMEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE PART B
7168447403MEDICAIDTEXAS
8168447401MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.