NPIMap

Organization Active NPI

Uhs of TRC, Inc

  • Long Term Care Hospital
  • Denison, TX
National Provider Identifier
1477553113
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
000705 Issued in TX
Legal business name
UHS OF TRC, INC
Practice address
1000 Memorial Dr
Denison, TX 75020-2035
Phone
(903) 416-4007
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. W. Mackey Watkins, M.D.
Title
Ceo President
Phone
(903) 416-1426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 000705 TX Primary

Addresses

Primary practice location

1000 Memorial Dr
Denison, TX 75020-2035

Mailing address

1000 Memorial Dr
Denison, TX 75020-2035
Phone (903) 416-4007

Other identifiers 1

IdentifierTypeStateIssuer
HH0901OtherTXBLUE CROSS PRIVIDER #

Other names 1

  • Texoma Medical Center Restorative Care Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 450791

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TEXOMA MED CTR RESTORATIVE CARE HOSP
Certification status
Terminated Other: provider status change, Jun 30, 1994
Provider type (POS)
Hospital – Short-term
Participating since
Dec 31, 1993
Last certification
Dec 31, 1993
Beds
29 (16 certified)
Ownership / control type
Private (not for profit)
Facility address
1000 Memorial Dr 4TH Floor
Denison, TX 75020

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477553113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MEMORIAL DR",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202035",
            "telephone_number": "903-416-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEMORIAL DR",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202035",
            "telephone_number": "903-416-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF TRC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "MACKEY",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "903-416-1426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TX",
            "license": "000705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PRIVIDER #",
            "identifier": "HH0901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texoma Medical Center Restorative Care Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.