East Texas Medical Center Pittsburg

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

001731 Issued in TX

Legal business name

EAST TEXAS MEDICAL CENTER PITTSBURG

Doing business as

ETMC Home Care - Pittsburg

Practice address

208 Lafayette St
Pittsburg, TX 75686-1630

Phone

(903) 856-6554

Fax

(903) 856-0084

NPI assigned

Jul 20, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Traci K. Anderson

Title

Area Director of Operations

Phone

(903) 535-6056

Specialties & licenses 1

Addresses

Other names 1

• ETMC Home Care - Pittsburg Doing business as

Locations

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730188822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LAFAYETTE ST",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756861630",
            "telephone_number": "903-856-6554",
            "fax_number": "903-856-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LAFAYETTE ST",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756861630",
            "telephone_number": "903-856-6554",
            "fax_number": "903-856-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS MEDICAL CENTER PITTSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "AREA DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "903-535-6056",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "001731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETMC Home Care - Pittsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Texas Medical Center Home Health North
• East Texas Medical Center Home Services (East Texas Medical Center Home Health - North)
• East Texas Medical Center Pittsburg (ETMC General Surgery RHC)
• East Texas Medical Center Pittsburg (ETMC First Physicians Rural Health Clinic)
• East Texas Medical Center Pittsburg (ETMC Pittsburg)
• Ronnie Earl Frazier Jr.
• Sarah Friberg, CPM, LM
• Jessica Rubit Garcia, LVN
• Tiffanie Garcia, RN
• Darla Kay Grant, PT, MPT

• Home Health Agency in Pittsburg, TX
• Providers in Pittsburg, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.