GOOD SHEPHERD MEDICAL CENTER - LINDEN, INC (NPI# 1205894961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205894961 |
Entity Type | Organization |
Organization Name | GOOD SHEPHERD MEDICAL CENTER - LINDEN, INC |
Other Organization Name | GOOD SHEPHERD GLENN-GARRETT CLINIC - LINDEN |
Practice Address |
402 N Kaufman Linden TX 75563-5234 |
Mailing Address |
404 N Kaufman St Linden TX 75563-5234 |
Practice Telephone | 9037565581 |
Practice Fax Number | 9037565005 |
Mailing Telephone | 9037565581 |
Mailing Fax Number | 9037565005 |
Enumeration Date | 2006-05-03 |
Last Update Date | 2013-01-16 |
Authorized Official Name | MR. RUSSELL J COLLIER (CEO) |
Authorized Official Telephone | 9039276734 |
Is Organization Subpart | Y |
Parent Organization Name | GOOD SHEPHERD MEDICAL CENTER - LINDEN, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 130943705 | 05 | |
DME | 0504760001 | 01 | |
RAILROAD MEDICARE | CP3371 | 01 | |
SUPERIOR HEALTH | 127650 | 01 |
Other Name | Type Code |
---|---|
Good Shepherd Glenn-Garrett Clinic - Linden | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114985876 | Good Shepherd Medical Center - Linden, Inc | Clinic/Center | 903 N Walcott St, Jefferson, TX 75657-1128 | 2006-05-03 |
1811954993 | Good Shepherd Medical Center - Linden, Inc | Clinic/Center | 201 E. 2nd Street, Hughes Springs, TX 75656-2597 | 2006-05-01 |
Street Address |
402 N KAUFMAN |
City | LINDEN |
State | TX |
Zip Code | 75563-5234 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376043109 | Ruby Anilu Velazquez | Technician | 1265 Cr 1762, Linden, TX 75563 | 2018-02-19 |
1790187813 | Community Services of Northeast Texas, Inc. | Voluntary or Charitable | 304 E Houston St, Box 427, Linden, TX 75563 | 2014-09-19 |
1730222738 | Powers Pharmacy No 1 Inc | Pharmacy | 702 West Houston Street, Linden, TX 75563 | 2007-02-15 |
1891877007 | Kathy Russell | Dentist | 103 Church St, Linden, TX 75563 | 2006-10-19 |
1659341519 | Gordon Franklin Green | Internal Medicine | 402 N Kaufman St, Linden, TX 75563 | 2006-01-24 |
1598897944 | Community Services of Northeast Texas, Inc | Case Manager/Care Coordinator | 304 E Houston, Linden, TX 75563-0427 | 2007-03-12 |
1265694798 | Hospice Peachtree, LLC | Hospice Care, Community Based | 129 W Houston, Linden, TX 75563-1538 | 2008-06-26 |
1467952325 | Laveta Sue Raynes | Licensed Vocational Nurse | 221 County Road 1914, Linden, TX 75563-4111 | 2018-02-17 |
1881605871 | Linden Drug Co Inc | Pharmacy | 400 N Kaufman St, Linden, TX 75563-5234 | 2006-08-11 |
1821000852 | B2tf Ltc Pharmacy LLC | Pharmacy | 403 North Kaufman Street, Linden, TX 75563-5234 | 2006-08-11 |
Find all providers in zip 75563 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861592255 | Connie Griffin | Clinic/Center | 847 Squirrel Hollow Drive, Linden, TN 37096 | 2006-09-25 |
1225682537 | Tombigbee Healthcare Authority | Clinic/Center | 1007 S Main St, Linden, AL 36748-3149 | 2019-07-25 |
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1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
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1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
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.