Organization Active NPI

Good Shepherd Medical Center - Linden, Inc

  • Rural Health Clinic/Center
  • Hughes Springs, TX
National Provider Identifier
1811954993
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GOOD SHEPHERD MEDICAL CENTER - LINDEN, INC
Practice address
201 E. 2ND Street
Hughes Springs, TX 75656-2597
Phone
(903) 639-2004
Fax
(903) 639-2007
NPI assigned
May 1, 2006
Organization subpart
Yes
Parent organization
GOOD SHEPHERD MEDICAL CENTER - LINDEN, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Mr. Russell J Collier
Title
Ceo
Phone
(903) 927-6734

Specialties & licenses 1

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

Addresses

Primary practice location

201 E. 2ND Street
Hughes Springs, TX 75656-2597

Mailing address

404 N Kaufman St
Linden, TX 75563-5234
Phone (903) 756-5581

Other identifiers 4

IdentifierTypeStateIssuer
CP3371OtherRAILROAD MEDICARE
00H878OtherBCBS OF TEXAS
127650OtherSUPERIOR
0504760001OtherDME

Other names 1

  • Good Shepherd Glenn - Garrett Clinic - Hughes Springs Doing business as

National Provider Directory

National Provider Directory

Locations

201 E 2nd
Hughes Springs, TX 75656
Phone (903) 639-2004

109 E 2nd
Hughes Springs, TX 75656
Phone (903) 297-4864

404 N Kaufman St
Linden, TX 75563
Phone (903) 315-2072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1811954993",
    "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": "903-756-5581",
            "fax_number": "903-756-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E. 2ND STREET",
            "city": "HUGHES SPRINGS",
            "state": "TX",
            "postal_code": "756562597",
            "telephone_number": "903-639-2004",
            "fax_number": "903-639-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD MEDICAL CENTER - LINDEN, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SHEPHERD MEDICAL CENTER - LINDEN, INC",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-927-6734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP3371",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00H878",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "127650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0504760001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Glenn - Garrett Clinic - Hughes Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hughes Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.