Harriscare Medical Group PLLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

HARRISCARE MEDICAL GROUP PLLC

Practice address

220 Blanco Street
Lumberton, TX 77657

Phone

(409) 284-9717

NPI assigned

Jan 31, 2020

Last updated

Jan 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richelle Blackburn

Title

Administrator

Phone

(409) 284-9717

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1972134617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S 2ND ST",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776272307",
            "telephone_number": "409-284-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BLANCO STREET",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "77657",
            "telephone_number": "409-284-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISCARE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-284-9717"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Hamm, RN, BSN, IBCLC
• Hardin County Emergency Service District No 2 (Lumberton Fire & EMS)
• Hardin County Pediatrics
• Hardin County Urgent Care PLLC (Hardin County Urgent Care)
• Carol Ann Harris, LPCS
• Cameron Grace Hathaway, MS, LPA
• Michelle Marie Hext, APRN
• Sheila A Holt, M.ED.
• Hometown Care
• I Care Counseling Services

• Hospitalist Physician in Lumberton, TX
• Providers in Lumberton, TX by specialty
• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.