Active NPI
Brim Healthcare of Texas LLC
- Psychiatric Hospital Unit
- Texarkana, TX
National Provider Identifier
1295839991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 45S200
- Legal business name
- BRIM HEALTHCARE OF TEXAS LLC
- Practice address
- 1000 Pine St
Texarkana, TX 75501-5100 - Phone
- (903) 798-8000
- Fax
- (903) 798-7725
- NPI assigned
- Sep 12, 2006
- Last updated
- Apr 4, 2018
- Organization subpart
- Yes
- Parent organization
- BRIM HEALTHCARE OF TEXAS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas D. Gilbert
- Title
- Hospital Ceo
- Phone
- (903) 798-8001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 45S200 | TX | Primary |
Addresses
Primary practice location
1000 Pine St
Texarkana, TX 75501-5100
Mailing address
1000 Pine St
Attn: Billing
Texarkana, TX 75501-5100
Phone (903) 798-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2073116-04 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Wadley Regional Medical Center
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Texarkana, TX
- NPI 1295929743
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522800000000",
"number": "1295839991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PINE ST",
"address_2": "ATTN: BILLING",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015100",
"telephone_number": "903-798-8000",
"fax_number": "903-798-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PINE ST",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015100",
"telephone_number": "903-798-8000",
"fax_number": "903-798-7725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIM HEALTHCARE OF TEXAS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRIM HEALTHCARE OF TEXAS LLC",
"enumeration_date": "2006-09-12",
"last_updated": "2018-04-04",
"status": "A",
"authorized_official_last_name": "GILBERT",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "HOSPITAL CEO",
"authorized_official_telephone_number": "903-798-8001"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "TX",
"license": "45S200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2073116-04",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
- Brent Bultemeier PA
- Forestt Bridges
- Bridgewater Health Supplies LLC
- Brim Healthcare of Texas LLC
- Brim Healthcare of Texas LLC
- Jeri Grace Brocker, FNP
- Brookdale Senior Living Communities, Inc. (Brookdale Texarkana)
- Brookshire Grocery Company (Super 1 Pharmacy)
- Ashley Michelle Brown-Boyd, LCSW
- Daniel Hunter Brown, NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.