Timberlands Healthcare, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

TIMBERLANDS HEALTHCARE, LLC

Doing business as

Timberlands Clinic

Practice address

1050 E Loop 304
Suite 200
Crockett, TX 75835-1814

Phone

(936) 544-5132

NPI assigned

Jun 5, 2015

Last updated

Nov 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery Madison

Title

Ceo

Phone

(512) 446-4500

Specialties & licenses 1

Addresses

Other names 1

• Timberlands Clinic Doing business as

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1205216090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRL",
            "address_2": "STE 400",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815008",
            "telephone_number": "512-481-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E LOOP 304",
            "address_2": "SUITE 200",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351814",
            "telephone_number": "936-544-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLANDS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-446-4500"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberlands Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helen Joy Steel, LVN
• Susan Sweeney Studebaker, RNC, CNM
• Surgery Center of Crockett, LLC (Renaissance Surgery Center)
• Sophia Syverson
• Texas Family Doctor, PA
• Timberlands Healthcare, LLC (Timberlands Hospital)
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• Traditions Hospice of Madisonville, LLC (Traditions Health)
• Margaret Tuggle, LPC
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0236)

• Rural Health Clinic/Center in Crockett, TX
• Providers in Crockett, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.