HENDERSON HOSPITAL, LLC (NPI# 1326546797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326546797 |
| Entity Type | Organization |
| Organization Name | HENDERSON HOSPITAL, LLC |
| Practice Address |
300 Wilson St Henderson TX 75652-5956 |
| Mailing Address |
1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 |
| Practice Telephone | 9036556536 |
| Practice Fax Number | 9036576072 |
| Mailing Telephone | 6152963000 |
| Mailing Fax Number | 6152966227 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | STEPHEN C PETROVICH (EVP) |
| Authorized Official Telephone | 6152963000 |
| Is Organization Subpart | Y |
| Parent Organization Name | AHS EAST TEXAS HEALTH SYSTEM, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1083848352 | East Texas Medical Center Henderson | Nurse Anesthetist, Certified Registered | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003281452 | Henderson Hospital | General Acute Care Hospital | 1050 West Galleria Drive, Henderson, NV 89011 | 2015-12-10 |
| 1932398229 | Elwanda French | General Acute Care Hospital | 2005 Price St, Henderson, TX 75654-2523 | 2007-10-23 |
| 1962525725 | Julie L. Watson | General Acute Care Hospital | 211 Barker Rd, Henderson, KY 42420-2305 | 2007-04-09 |
| 1073573309 | Robert M Yeh Md PC | General Acute Care Hospital | 259 N Pecos Rd, Suite 110, Henderson, NV 89074-7365 | 2006-03-23 |
| 1518218072 | Kemp | General Acute Care Hospital | 1305 N Elm St, Henderson, KY 42420-2783 | 2012-09-25 |
| 1164707725 | Dlp Maria Parham Medical Center LLC | General Acute Care Hospital | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2011-10-14 |
| 1548566169 | Stephen Jones | General Acute Care Hospital | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2011-01-28 |
| 1083759633 | Methodist Health, Inc. | General Acute Care Hospital | 1305 N Elm St, Henderson, KY 42420-2783 | 2007-02-21 |
| 1770626426 | Dignity Health | General Acute Care Hospital | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2007-02-14 |
| 1386712768 | Henderson/vance Healthcare, Inc. | General Acute Care Hospital | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2006-12-01 |
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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.