NPIMap

Organization Active NPI

Navarro Hospital LP

Doing business as Navarro Family Clinic

  • Family Medicine Physician
  • Corsicana, TX
National Provider Identifier
1831640747
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NAVARRO HOSPITAL LP
Doing business as
Navarro Family Clinic
Practice address
3124 W Highway 22
Corsicana, TX 75110-2435
Phone
(903) 641-4270
Fax
(903) 872-5321
NPI assigned
Oct 17, 2016
Last updated
Jun 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
James P Wright
Title
VP Physician Business Services
Phone
(615) 778-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3124 W Highway 22
Corsicana, TX 75110-2435

Mailing address

3124 W Highway 22
Corsicana, TX 75110-2435
Phone (903) 641-4270

Other names 1

  • Navarro Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170313001209 TX Part B Supplier - Clinic/Group Practice 0143126888 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
Practice locations: Corsicana, TX

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Navarro Hospital LP11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 Hospital Dr
#150
Corsicana, TX 75110
Phone (903) 641-4800

3124 W State Highway 22
Corsicana, TX 75110
Phone (903) 641-4270

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Navarro Family ClinicCorsicana, TX, CCN 673453 Rural health clinic 5% Or Greater Direct Ownership Interest Nov 9, 1998

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1831640747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 W HIGHWAY 22",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102435",
            "telephone_number": "903-641-4270",
            "fax_number": "903-872-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 W HIGHWAY 22",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102435",
            "telephone_number": "903-641-4270",
            "fax_number": "903-872-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVARRO HOSPITAL LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP PHYSICIAN BUSINESS SERVICES",
        "authorized_official_telephone_number": "615-778-1502"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Navarro Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Navarro Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.