NPIMap

Organization Active NPI

East Texas Medical Center Quitman

Doing business as Etmc First Physicians Clinic Grand Saline

  • Rural Health Clinic/Center
  • Grand Saline, TX
National Provider Identifier
1447615943
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
EAST TEXAS MEDICAL CENTER QUITMAN
Doing business as
Etmc First Physicians Clinic Grand Saline
Practice address
801 N Waldrip St
Grand Saline, TX 75140-1024
Phone
(903) 962-7551
Fax
(903) 962-7122
NPI assigned
Dec 28, 2015
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Patrick Swindle
Title
Administrator
Phone
(903) 763-6330

Specialties & licenses 1

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

Addresses

Primary practice location

801 N Waldrip St
Grand Saline, TX 75140-1024

Mailing address

PO Box 1304
Pittsburg, TX 75686-2203
Phone (903) 946-5519

Other names 1

  • ETMC FIRST PHYSICIANS CLINIC GRAND SALINE Doing business as

National Provider Directory

National Provider Directory

Locations

711 Titus St
Gilmer, TX 75644
Phone (903) 841-7300

101 W Main St
Van, TX 75790
Phone (903) 963-8303

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1447615943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1304",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756862203",
            "telephone_number": "903-946-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WALDRIP ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401024",
            "telephone_number": "903-962-7551",
            "fax_number": "903-962-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS MEDICAL CENTER QUITMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "SWINDLE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-763-6330"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETMC FIRST PHYSICIANS CLINIC GRAND SALINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 1, 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.