NPIMap

Organization Active NPI

Gainesville Hospital District

  • Occupational Medicine Physician
  • Gainesville, TX
National Provider Identifier
1124372487
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
GAINESVILLE HOSPITAL DISTRICT
Practice address
301 N Grand Ave
Gainesville, TX 76240-4321
Phone
(940) 665-0736
Fax
(940) 668-8637
NPI assigned
Nov 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Mr. Randolph B Bacus, FACHE
Title
Ceo
Phone
(940) 612-8603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X TX Primary

Addresses

Primary practice location

301 N Grand Ave
Gainesville, TX 76240-4321

Mailing address

1900 Hospital Blvd
Gainesville, TX 76240-2002
Phone (940) 665-1751

Other names 1

  • NTMC Occupational Medicine Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

301 N Grand Ave
Gainesville, TX 76240
Phone (940) 665-0736

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1124372487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOSPITAL BLVD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402002",
            "telephone_number": "940-665-1751",
            "fax_number": "940-612-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404321",
            "telephone_number": "940-665-0736",
            "fax_number": "940-668-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "BACUS",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-612-8603",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NTMC Occupational Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.