EAST TEXAS MEDICAL CENTER HENDERSON (NPI# 1215164231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215164231 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER HENDERSON |
| Other Organization Name | HENDERSON EPSDT |
| Practice Address |
300 Wilson Henderson TX 75652-5956 |
| Practice Telephone | 9036556567 |
| Mailing Telephone | 9036556567 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | MR. BYRON HALE (SR VICE PRESIDENT / CFO) |
| Authorized Official Telephone | 9035318010 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST TEXAS MEDICAL CENTER HENDERSON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| Other Name | Type Code |
|---|---|
| Henderson EPSDT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942437967 | East Texas Medical Center Henderson | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2009-06-17 |
| 1083848352 | East Texas Medical Center Henderson | Nurse Anesthetist, Certified Registered | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
| 1376777649 | East Texas Medical Center Henderson | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
| 1720212095 | East Texas Medical Center Henderson | Medicare Defined Swing Bed Unit | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
| 1245464536 | East Texas Medical Center Henderson | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
| 1770717167 | East Texas Medical Center Henderson | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-13 |
| Street Address |
300 WILSON |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652-5956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1780992586 | Furqueron & Jackson Dentistry Partnership | Dentist | 1910 State Hwy 43 East, Henderson, TX 75652 | 2010-09-15 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| Find all providers in zip 75652 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546797 | Henderson Hospital, LLC | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2018-01-31 |
| 1942437967 | East Texas Medical Center Henderson | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2009-06-17 |
| 1770717167 | East Texas Medical Center Henderson | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-13 |
| 1760660310 | Maria Parham Medical Center | General Acute Care Hospital | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2008-02-06 |
| 1205880424 | Henderson Memorial Hospital | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2006-05-20 |
| 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 |
| 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 |
| 1003939232 | Dickerson Memorial Hospital, LLC | General Acute Care Hospital | 1001 Dickerson Dr, Jasper, TX 75951-5110 | 2007-04-10 |
| 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.