NPIMap

Organization Active NPI

Marshall Rural Health Clinic

  • Rural Health Clinic/Center
  • Marshall, TX
National Provider Identifier
1083990808
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
775544 Issued in TX
Legal business name
MARSHALL RURAL HEALTH CLINIC
Practice address
805 Lindsey St
Marshall, TX 75670-5249
Phone
(903) 927-6140
Fax
(903) 927-6117
NPI assigned
Oct 25, 2011
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
GOOD SHEPHERD MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Cortney Young, APRN
Title
Nurse Practitioner
Phone
(903) 927-6140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 775544 TX Primary

Addresses

Primary practice location

805 Lindsey St
Marshall, TX 75670-5249

Mailing address

805 Lindsey St
Marshall, TX 75670-5249
Phone (903) 927-6140

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital6 organizations share this tax ID, including this one
Part of
Memorial Hospital

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1083990808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 LINDSEY ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705249",
            "telephone_number": "903-927-6140",
            "fax_number": "903-927-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LINDSEY ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705249",
            "telephone_number": "903-927-6140",
            "fax_number": "903-927-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL RURAL HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SHEPHERD MEDICAL CENTER",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "903-927-6140",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "775544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.