NPIMap

Organization Active NPI

East Texas Medical Center Henderson

Doing business as East Texas Medical Center Henderson FHC EPSDT

  • Rural Health Clinic/Center
  • Henderson, TX
National Provider Identifier
1245464536
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
EAST TEXAS MEDICAL CENTER HENDERSON
Doing business as
East Texas Medical Center Henderson FHC EPSDT
Practice address
300 Wilson St
Henderson, TX 75652-5956
Phone
(903) 657-7541
NPI assigned
May 14, 2009
Last updated
May 14, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST TEXAS MEDICAL CENTER HENDERSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Mr. Byron Hale
Title
Sr. Vice President of Finance
Phone
(903) 531-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

300 Wilson St
Henderson, TX 75652-5956

Mailing address

300 Wilson St
Henderson, TX 75652-5956
Phone (903) 657-7541

Other names 1

  • East Texas Medical Center Henderson FHC EPSDT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Texas Medical Center Henderson3 organizations share this tax ID, including this one
Part of
East Texas Medical Center Henderson

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1245464536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525956",
            "telephone_number": "903-657-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525956",
            "telephone_number": "903-657-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS MEDICAL CENTER HENDERSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST TEXAS MEDICAL CENTER HENDERSON",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "903-531-8010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Texas Medical Center Henderson FHC EPSDT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.