DICKERSON MEMORIAL HOSPITAL, LLC (NPI# 1003939232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003939232 |
| Entity Type | Organization |
| Organization Name | DICKERSON MEMORIAL HOSPITAL, LLC |
| Practice Address |
1001 Dickerson Dr Jasper TX 75951-5110 |
| Mailing Address |
260 N Sam Houston Pkwy E Suite 220 Houston TX 77060-2018 |
| Practice Telephone | 4093832345 |
| Practice Fax Number | 2814476802 |
| Mailing Telephone | 2814476800 |
| Mailing Fax Number | 2814476802 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN TATUM (ADMINISTRATOR) |
| Authorized Official Telephone | 2814476800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
007235 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER ID | HH0400 | 01 |
| Street Address |
1001 DICKERSON DR |
| City | JASPER |
| State | TX |
| Zip Code | 75951-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528386091 | Lakewood Hospital LLC | General Acute Care Hospital | 1001 Dickerson Dr, Jasper, TX 75951-5110 | 2010-05-08 |
| 1548439979 | David Anthony Mosig | Emergency Medicine | 1001 Dickerson Dr, Jasper, TX 75951-5110 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1871023028 | Tamara Nicole Vandiver | Nurse Practitioner | 2427 Hwy 255 West, Brookeland, TX 75951 | 2017-06-19 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1275931792 | David Scott Hughes | Counselor | 1501-c South Wheeler St, Jasper, TX 75951 | 2014-12-16 |
| 1881091684 | D.scott Hughes Center for Counseling and Rehab | Clinic/Center | 1501-c South Wheeler, Jasper, TX 75951 | 2014-11-24 |
| 1720497480 | Harvest Counseling | Marriage & Family Therapist | 1501-c South Wheeler Street, Jasper, TX 75951 | 2014-08-07 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1750668034 | Susan Irene Craft | Hearing Instrument Specialist | 530 S. Wheeler, Jasper, TX 75951 | 2011-11-14 |
| 1194012740 | Harbor Hospice of East Texas Lp | Hospice Care, Community Based | 1440 Fm 777, Jasper, TX 75951 | 2011-07-05 |
| 1457661845 | Barbara Patin | Occupational Therapist | 11117 Fm 777, Jasper, TX 75951 | 2010-10-19 |
| Find all providers in zip 75951 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467534917 | H C Healthcare Inc | General Acute Care Hospital | 506 Nw 4th Street, Jasper, FL 32052-6603 | 2006-10-20 |
| 1528386091 | Lakewood Hospital LLC | General Acute Care Hospital | 1001 Dickerson Dr, Jasper, TX 75951-5110 | 2010-05-08 |
| 1619173960 | H C Healthcare Inc | General Acute Care Hospital | 506 4th St Nw, Jasper, FL 32052-6603 | 2007-06-25 |
| 1245434216 | H.c. Healthcare, Inc. | General Acute Care Hospital | 506 4th St Nw, Jasper, FL 32052-6603 | 2007-06-13 |
| 1598749707 | Christus Health Southeast Texas | General Acute Care Hospital | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811347420 | Tasneem Meghani | General Acute Care Hospital | 3730 N Josey Ln Ste 104, Carrollton, TX 75007-2487 | 2016-06-14 |
| 1295157717 | Mcculloch County Hospital District | General Acute Care Hospital | 2008 Nine Road, Brady, TX 76825 | 2014-01-17 |
| 1912349598 | Culberson Hospital | General Acute Care Hospital | Eisenhower and Fm 2185, Van Horn, TX 79855 | 2013-07-23 |
| 1356663546 | Colorado Fayette Medical Center | General Acute Care Hospital | 113 W South Main St, Flatonia, TX 78941-2665 | 2010-02-16 |
| 1497084859 | Leana Bradford | General Acute Care Hospital | 8730 Silver Lure Dr, Humble, TX 77346-8151 | 2009-12-15 |
| 1215164231 | East Texas Medical Center Henderson | General Acute Care Hospital | 300 Wilson, Henderson, TX 75652-5956 | 2009-06-17 |
| 1407097231 | Tm Van Zandt Hospital LLC | General Acute Care Hospital | 707 N Waldrip St, Grand Saline, TX 75140-1555 | 2009-03-06 |
| 1336396274 | Denton Regional Medical Ceneer | General Acute Care Hospital | 1333 Skiles St, Dallas, TX 75204-6108 | 2008-08-21 |
| 1578787875 | Mitchell County Hospital | General Acute Care Hospital | 997 W I-h 20, Colorado City, TX 79512 | 2007-04-11 |
| 1760567085 | Starr County Hospital District | General Acute Care Hospital | 128 N. Fm 3167, Rio Grande City, TX 78582-0078 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.