NPIMap

Organization Active NPI

Gainesville Hospital District

Doing business as NTMC Pediatrics

  • Rural Health Clinic/Center
  • Gainesville, TX
National Provider Identifier
1861766867
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GAINESVILLE HOSPITAL DISTRICT
Doing business as
NTMC Pediatrics
Practice address
801 N Grand Ave
Suite 4
Gainesville, TX 76240-3573
Phone
(940) 612-8770
Fax
(940) 612-8779
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Mr. Randolph Brown Bacus
Title
Ceo
Phone
(940) 612-8600

Specialties & licenses 1

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

Addresses

Primary practice location

801 N Grand Ave
Suite 4
Gainesville, TX 76240-3573

Mailing address

1900 Hospital Blvd
Gainesville, TX 76240-2002
Phone (940) 665-1751

Other names 1

  • NTMC Pediatrics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1861766867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOSPITAL BLVD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402002",
            "telephone_number": "940-665-1751",
            "fax_number": "940-612-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N GRAND AVE",
            "address_2": "SUITE 4",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403573",
            "telephone_number": "940-612-8770",
            "fax_number": "940-612-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "BACUS",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-612-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NTMC Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.