NPIMap

Organization Active NPI

Eastland Memorial Hospital District

Doing business as Matlock Place Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Arlington, TX
National Provider Identifier
1043623200
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1014955 Issued in TX
Legal business name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Doing business as
Matlock Place Health and Rehabilitation Center
Practice address
7100 Matlock Rd
Arlington, TX 76002-3402
Phone
(817) 466-2511
NPI assigned
Jun 5, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ted D. Matthews
Title
Administrator
Phone
(254) 631-5342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1014955 TX Primary

Addresses

Primary practice location

7100 Matlock Rd
Arlington, TX 76002-3402

Mailing address

304 S Daugherty Ave
P.O. Box 897
Eastland, TX 76448-2609
Phone (254) 631-5342

Other identifiers 2

IdentifierTypeStateIssuer
67-6141OtherTXMEDICARE
5504MedicaidTX

Other names 1

  • Matlock Place Health and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eastland Memorial Hospi38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1043623200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S DAUGHERTY AVE",
            "address_2": "P.O. BOX 897",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482609",
            "telephone_number": "254-631-5342",
            "fax_number": "254-629-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023402",
            "telephone_number": "817-466-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAND MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-631-5342",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "1014955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "67-6141",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matlock Place Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.