Active NPI
East Texas Medical Center Carthage
- Rural Health Clinic/Center
- Center, TX
National Provider Identifier
1891969663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- EAST TEXAS MEDICAL CENTER CARTHAGE
- Practice address
- 1743 Southview Cir
Center, TX 75935-9324 - Phone
- (936) 591-8888
- Fax
- (936) 591-8884
- NPI assigned
- Apr 14, 2008
- Organization subpart
- Yes
- Parent organization
- EAST TEXAS MEDICAL CENTER CARTHAGE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Hudson
- Title
- Administrator
- Phone
- (903) 694-4682
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
1743 Southview Cir
Center, TX 75935-9324
Mailing address
PO Box 549
Carthage, TX 75633-0549
Phone (903) 694-4682
Other names 1
- ETMC First Physician Clinic Center II
National Provider Directory
National Provider Directory- Part of
- East Texas Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312243200000",
"number": "1891969663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 549",
"city": "CARTHAGE",
"state": "TX",
"postal_code": "756330549",
"telephone_number": "903-694-4682",
"fax_number": "903-694-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1743 SOUTHVIEW CIR",
"city": "CENTER",
"state": "TX",
"postal_code": "759359324",
"telephone_number": "936-591-8888",
"fax_number": "936-591-8884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST TEXAS MEDICAL CENTER CARTHAGE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EAST TEXAS MEDICAL CENTER CARTHAGE",
"enumeration_date": "2008-04-14",
"last_updated": "2011-08-02",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "903-694-4682",
"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": "ETMC First Physician Clinic Center II",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Center, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.