NPIMap

Organization Active NPI

Brim Healthcare of Texas LLC

  • General Acute Care Hospital
  • Texarkana, TX
National Provider Identifier
1114903523
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000144 Issued in TX
Legal business name
BRIM HEALTHCARE OF TEXAS LLC
Practice address
1000 Pine St
Texarkana, TX 75501-5100
Phone
(903) 798-8000
Fax
(903) 798-7725
NPI assigned
Dec 16, 2005
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Mr. Thomas D. Gilbert
Title
Hospital Ceo
Phone
(903) 798-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 000144 TX Primary

Addresses

Primary practice location

1000 Pine St
Texarkana, TX 75501-5100

Mailing address

1000 Pine St
Attn: Billing
Texarkana, TX 75501-5100
Phone (903) 798-8000

Other identifiers 4

IdentifierTypeStateIssuer
2073116-01MedicaidTX
100702140AMedicaidOK
1731498MedicaidLA
107583105MedicaidAR

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1114903523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PINE ST",
            "address_2": "ATTN: BILLING",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015100",
            "telephone_number": "903-798-8000",
            "fax_number": "903-798-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PINE ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015100",
            "telephone_number": "903-798-8000",
            "fax_number": "903-798-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIM HEALTHCARE OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "903-798-8001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073116-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100702140A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1731498",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107583105",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.