EAST TEXAS MEDICAL CENTER HENDERSON (NPI# 1245464536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245464536 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER HENDERSON |
| Other Organization Name | EAST TEXAS MEDICAL CENTER HENDERSON FHC EPSDT |
| Practice Address |
300 Wilson St Henderson TX 75652-5956 |
| Practice Telephone | 9036577541 |
| Mailing Telephone | 9036577541 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |
| Authorized Official Name | MR. BYRON HALE (SR. VICE PRESIDENT OF FINANCE) |
| 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| East Texas Medical Center Henderson FHC EPSDT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215164231 | East Texas Medical Center Henderson | General Acute Care Hospital | 300 Wilson, Henderson, TX 75652-5956 | 2009-06-17 |
| 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 |
| 1770717167 | East Texas Medical Center Henderson | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-13 |
| Street Address |
300 WILSON ST |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652-5956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954509 | Shawna Elizabeth Sharp | Nurse Practitioner | 300 Wilson St, Henderson, TX 75652-5956 | 2020-05-21 |
| 1053953794 | Mica Ladon Norman | Nurse Practitioner | 300 Wilson St, Henderson, TX 75652-5956 | 2019-10-15 |
| 1639670466 | Henderson Hospital, LLC | Nurse Anesthetist, Certified Registered | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-27 |
| 1043710437 | Henderson Hospital, LLC | Internal Medicine | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-13 |
| 1952800310 | Henderson Hospital, LLC | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-12 |
| 1326546797 | Henderson Hospital, LLC | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2018-01-31 |
| 1154730273 | Tanager Emergency Physicians Pllc | Emergency Medicine | 300 Wilson St, Henderson, TX 75652-5956 | 2014-08-04 |
| 1376828400 | Kwabena Agyapong Osman | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2011-10-20 |
| 1679899751 | Rusk Physician Services Pa | Hospitalist | 300 Wilson St, Henderson, TX 75652-5956 | 2010-04-14 |
| 1942437967 | East Texas Medical Center Henderson | General Acute Care Hospital | 300 Wilson St, Henderson, TX 75652-5956 | 2009-06-17 |
| Find all providers in the same location | ||||
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326600974 | Brock Medical, LLC | Clinic/Center | 230 N Green St, Henderson, KY 42420-3109 | 2019-07-03 |
| 1982936936 | Trinity Clinic | Clinic/Center | 500 N Marshall St, Henderson, TX 75652-5932 | 2010-02-02 |
| 1639345952 | The Grove Primary Care Clinic LLC | Clinic/Center | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 | 2008-05-06 |
| 1760676613 | Trinity Clinic | Clinic/Center | 511 N High St, Henderson, TX 75652-5985 | 2007-09-04 |
| 1942779509 | West Tennessee Primary Care, LLC | Clinic/Center | 557 W Park Pl, Henderson, TN 38340-2027 | 2018-11-13 |
| 1952800310 | Henderson Hospital, LLC | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-12 |
| 1073906616 | Apex Cardiology PC | Clinic/Center | 557 W Park Pl, Henderson, TN 38340-2027 | 2015-03-06 |
| 1376777649 | East Texas Medical Center Henderson | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
| 1891929840 | Kentucky Homecare of Henderson, LLC | Clinic/Center | 505 Klutey Park Plaza Dr, Suite A, Henderson, KY 42420-5224 | 2009-05-06 |
| 1396788113 | Henderson Memorial Hospital | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2006-06-13 |
| Find all providers in HENDERSON | ||||
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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.