Active NPI
Cozby-Germany Hospital
- Rural Acute Care Hospital
- Grand Saline, TX
National Provider Identifier
1215934989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Acute Care Hospital
- License
- 000138
- Legal business name
- COZBY-GERMANY HOSPITAL
- Practice address
- 707 North Waldrip Street
Grand Saline, TX 75140-1555 - Phone
- (903) 962-4242
- Fax
- (903) 962-7338
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tom Elliott
- Title
- Board Member
- Phone
- (903) 962-4242
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 000138 | TX | |
| Family Medicine Physician | 207Q00000X | L4110 | TX | |
| Rural Acute Care Hospital | 282NR1301X | 000138 | TX | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 547756 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 453723 | TX |
Addresses
Primary practice location
707 North Waldrip Street
Grand Saline, TX 75140-1555
Mailing address
707 North Waldrip Street
Grand Saline, TX 75140-1555
Phone (903) 962-4242
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132249606 | Medicaid | TX | |
| 092351802 | Medicaid | TX | |
| 092351801 | Medicaid | TX | |
| 082154801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
749B N Waldrip St
Grand Saline, TX 75140
Phone (903) 962-6204
129 S 4th St
Wills Point, TX 75169
Phone (903) 873-2521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367798400000",
"number": "1215934989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 NORTH WALDRIP STREET",
"city": "GRAND SALINE",
"state": "TX",
"postal_code": "751401555",
"telephone_number": "903-962-4242",
"fax_number": "903-962-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 NORTH WALDRIP STREET",
"city": "GRAND SALINE",
"state": "TX",
"postal_code": "751401555",
"telephone_number": "903-962-4242",
"fax_number": "903-962-7338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COZBY-GERMANY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2013-05-06",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "BOARD MEMBER",
"authorized_official_telephone_number": "903-962-4242",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "TX",
"license": "000138",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "L4110",
"primary": false
},
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": "TX",
"license": "000138",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "547756",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "453723",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132249606",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092351802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092351801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082154801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Saline, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.