Good Shepherd Medical Center - Linden Inc

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

008221 Issued in TX

Legal business name

GOOD SHEPHERD MEDICAL CENTER - LINDEN INC

Practice address

404 N Kaufman St
Linden, TX 75563-5234

Phone

(903) 756-5561

Fax

(903) 756-3718

NPI assigned

Apr 18, 2006

Last updated

Feb 9, 2010By 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

Edward Banos

Title

Ceo

Phone

(903) 315-2000

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1780649509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N KAUFMAN ST",
            "city": "LINDEN",
            "state": "TX",
            "postal_code": "755635234",
            "telephone_number": "903-756-5561",
            "fax_number": "903-756-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N KAUFMAN ST",
            "city": "LINDEN",
            "state": "TX",
            "postal_code": "755635234",
            "telephone_number": "903-756-5561",
            "fax_number": "903-756-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD MEDICAL CENTER - LINDEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "BANOS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-315-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "008221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/PROFESSIONAL PROVIDER #",
            "identifier": "0004NP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183315401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV#",
            "identifier": "HH0386",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Coker
• Community Services of Northeast Texas, Inc
• Community Services of Northeast Texas, Inc.
• Kimberly Fitts, FNP-C
• Good Shepherd Medical Center - Linden Inc
• Good Shepherd Medical Center - Linden, Inc (Good Shepherd Glenn-Garrett Clinic - Linden)
• Gordon Franklin Green, M.D.
• Hospice Peachtree, LLC
• Amber Valentine Hurd, NP
• Reginald Bruce Legrow, MD

• Critical Access Hospital in Linden, TX
• Providers in Linden, TX by specialty
• Critical Access Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.