NPIMap

Organization Active NPI

Sherman Grayson Hospital LLC

  • Rural Health Clinic/Center
  • Sherman, TX
National Provider Identifier
1902840333
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SHERMAN GRAYSON HOSPITAL LLC
Practice address
1000 S FM 1417
Sherman, TX 75092-4865
Phone
(903) 870-4611
Fax
(903) 891-2030
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Mr. Vance Vernon Reynolds
Title
President & Chief Executive Officer
Phone
(903) 870-4591

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

1000 S FM 1417
Sherman, TX 75092-4865

Mailing address

119 W Houston St
Sherman, TX 75090-5909
Phone (903) 891-7000

Other identifiers 3

IdentifierTypeStateIssuer
00U24JOtherTXBLUE CROSS BLUE SHIELD
018042401OtherTXTX MEDICAID T-STEPS
063537701MedicaidTX

Other names 1

  • D/B/A Healthcenter on 1417 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
WNJ Crna Group a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

300 N Highland Ave
Ofc Buil
Sherman, TX 75092
Phone (903) 870-4611

1000 S FM 1417
Sherman, TX 75092
Phone (903) 870-4611

501 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4530

Practitioners & affiliated clinicians

Practitioners 4

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1902840333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W HOUSTON ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905909",
            "telephone_number": "903-891-7000",
            "fax_number": "903-813-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FM 1417",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750924865",
            "telephone_number": "903-870-4611",
            "fax_number": "903-891-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN GRAYSON HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "903-870-4591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00U24J",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAID T-STEPS",
            "identifier": "018042401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063537701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A Healthcenter on 1417",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.