Organization Active NPI

Lumin ER Granbury

  • Emergency Care Clinic/Center
  • Granbury, TX
National Provider Identifier
1962864603
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
LUMIN ER GRANBURY
Practice address
3801 E US Highway 377
Ste 100
Granbury, TX 76049-7429
Phone
(913) 972-4976
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Mr. Jeff Vanhorn
Title
Ceo
Phone
(913) 972-4976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

3801 E US Highway 377
Ste 100
Granbury, TX 76049-7429

Mailing address

3801 E US Highway 377
Ste 100
Granbury, TX 76049-7429
Phone (913) 972-4976

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1962864603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 E US HIGHWAY 377",
            "address_2": "STE 100",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497429",
            "telephone_number": "913-972-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E US HIGHWAY 377",
            "address_2": "STE 100",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497429",
            "telephone_number": "913-972-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIN ER GRANBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "VANHORN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-972-4976",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.