TM Van Zandt Hospital LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

TM VAN ZANDT HOSPITAL LLC

Doing business as

Grand Saline Rural Health Clinic

Practice address

707 N Waldrip St
Grand Saline, TX 75140-1555

Phone

(254) 697-6591

Fax

(254) 697-8326

NPI assigned

Dec 17, 2010

Last updated

Feb 28, 2011By 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

Joe White

Title

Cfo

Phone

(254) 697-6591

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GRAND SALINE RURAL HEALTH CLINIC Doing business as

Locations

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1811290588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 N WALDRIP ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401555",
            "telephone_number": "254-697-6591",
            "fax_number": "254-697-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N WALDRIP ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401555",
            "telephone_number": "254-697-6591",
            "fax_number": "254-697-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TM VAN ZANDT HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "254-697-6591"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092351802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND SALINE RURAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rural Health Clinic/Center in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.