NPIMap

Organization Active NPI

Tyler County Hospital Homehealth

  • Home Health Agency
  • Woodville, TX
National Provider Identifier
1861491052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002223 Issued in TX
Legal business name
TYLER COUNTY HOSPITAL HOMEHEALTH
Practice address
211 Kelley Blvd
Woodville, TX 75979-4713
Phone
(409) 283-6444
Fax
(409) 283-6430
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David C Campbell
Title
Cfo
Phone
(409) 283-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 002223 TX Primary

Addresses

Primary practice location

211 Kelley Blvd
Woodville, TX 75979-4713

Mailing address

PO Box 549
Woodville, TX 75979-0549
Phone (409) 283-6444

Other identifiers 1

IdentifierTypeStateIssuer
HH9416OtherTXBLUE CROSS PROVIDER NO.

National Provider Directory

National Provider Directory
Tax ID family
Tyler County Hosp Emerg12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861491052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759790549",
            "telephone_number": "409-283-6444",
            "fax_number": "409-283-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 KELLEY BLVD",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794713",
            "telephone_number": "409-283-6444",
            "fax_number": "409-283-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER COUNTY HOSPITAL HOMEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "409-283-6440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO.",
            "identifier": "HH9416",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, TX

Sources for this page

  • 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.