Innate Hospital LLC

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

INNATE HOSPITAL LLC

Doing business as

Van Zandt Regional Hospital

Practice address

707 N Waldrip St
Grand Saline, TX 75140-1555

Phone

(903) 913-6303

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Gary D Martin, DC MD

Title

Executive Director

Phone

(469) 215-3494

Specialties & licenses 1

Addresses

Other names 1

• VAN ZANDT REGIONAL HOSPITAL Doing business as

Tax ID family

Innate Hospital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Innate Hospital LLC

  dba Van Zandt Regional Hospital

  • General Acute Care Hospital
  • Grand Saline, TX
  • NPI 1194327437
  NPD tax ID

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1912599838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N WALDRIP ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401555",
            "telephone_number": "903-913-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N WALDRIP ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401555",
            "telephone_number": "903-913-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "469-215-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC MD"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VAN ZANDT REGIONAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greenhart
• GS Partners, LTD. (Country Trails Care Center)
• Leta Hollis, PTA
• Inayah Healthcare LLC
• Innate Hospital LLC (Van Zandt Regional Hospital)
• Innate Medical Solutions PLLC
• Just Kids Home Health,Inc.
• Brittany Kiefer, MS, ATC, LAT
• Kindle Drug Inc (Economy Medical Equipment)
• Kindle Drug Inc (Economy Drug)

• Medicare Defined Swing Bed Hospital Unit in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Medicare Defined Swing Bed Hospital Unit in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.