Organization Active NPI

Palestine Principal Healthcare Limited Partnership

Doing business as Palestine Regional Medical Center - swing bed program

  • Medicare Defined Swing Bed Hospital Unit
  • Palestine, TX
National Provider Identifier
1225147887
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Doing business as
Palestine Regional Medical Center - swing bed program
Practice address
2900 S Loop 256
Palestine, TX 75801-6958
Phone
(903) 731-1000
Fax
(903) 731-2236
NPI assigned
Aug 29, 2006
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Johnetta Traylor
Title
Administrator
Phone
(502) 596-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

2900 S Loop 256
Palestine, TX 75801-6958

Mailing address

680 S 4TH St # KH3
Louisville, KY 40202-2407
Phone (502) 596-6063

Other names 1

  • Palestine Regional Medical Center - swing bed program Doing business as

National Provider Directory

National Provider Directory
Part of
Palestine Principal

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1225147887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST # KH3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-6063",
            "fax_number": "502-212-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016958",
            "telephone_number": "903-731-1000",
            "fax_number": "903-731-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palestine Regional Medical Center - swing bed program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.