TITUS COUNTY HOSPITAL DISTRICT (NPI# 1477952794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477952794 |
| Entity Type | Organization |
| Organization Name | TITUS COUNTY HOSPITAL DISTRICT |
| Other Organization Name | CLARKSVILLE NURSING CENTER |
| Practice Address |
300 E Baker St Clarksville TX 75426-5034 |
| Practice Telephone | 9034272236 |
| Practice Fax Number | 9034275235 |
| Mailing Telephone | 9034272236 |
| Mailing Fax Number | 9034275235 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | TERRY SCOGGIN (CFO) |
| Authorized Official Telephone | 9035776066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 004495 | 05 |
| Other Name | Type Code |
|---|---|
| CLARKSVILLE NURSING CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
| 1841721016 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 210, Mount Pleasant, TX 75455-2390 | 2017-03-21 |
| 1982070595 | Titus County Hospital District | Clinic/Center | 1901 Mulberry Ave, Mount Pleasant, TX 75455-2369 | 2015-08-18 |
| 1972902245 | Titus County Hospital District | Skilled Nursing Facility | 3505 Old Jacksonvil Rd, Tyler, TX 75701-8510 | 2014-08-22 |
| 1497165724 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 204a, Mount Pleasant, TX 75455-2300 | 2014-05-08 |
| 1114344520 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 202a, Mount Pleasant, TX 75455-2309 | 2014-03-24 |
| 1922422401 | Titus County Hospital District | Clinic/Center | 2001 N Jefferson Ave Ste 100, Mount Pleasant, TX 75455-1104 | 2014-02-05 |
| 1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
| 1114548211 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455-5614 | 2020-04-29 |
| 1013538321 | Titus County Hospital District | Clinic/Center | 1402 Linda Dr, Daingerfield, TX 75638-2132 | 2020-04-28 |
| Street Address |
300 E BAKER ST |
| City | CLARKSVILLE |
| State | TX |
| Zip Code | 75426-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793038 | Clarksville Nursing Center, L.p. | Durable Medical Equipment & Medical Supplies | 300 E Baker St, Clarksville, TX 75426-5034 | 2005-10-12 |
| 1134739303 | Charles Michael Taylor II | Physical Medicine & Rehabilitation | 300 E Baker St, Clarksville, TX 75426-5034 | 2020-08-03 |
| 1144704859 | Curtis Montgomery Mayo Jr. | Physical Therapy Assistant | 300 E Baker St, Clarksville, TX 75426-5034 | 2018-09-18 |
| 1568945053 | Rachel Marie Vaughan | Physical Therapy Assistant | 300 E Baker St, Clarksville, TX 75426-5034 | 2018-09-11 |
| 1538553417 | Charles Michael Taylor II | Physical Medicine & Rehabilitation | 300 E Baker St, Clarksville, TX 75426-5034 | 2015-03-27 |
| 1073849469 | Clarksville Snf LLC | Durable Medical Equipment & Medical Supplies | 300 E Baker St, Clarksville, TX 75426-5034 | 2009-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831691922 | Fpacp Clarksville LLC | Skilled Nursing Facility | 2407 West Main Highway 82, Clarksville, TX 75426 | 2018-03-05 |
| 1225415565 | Hhy, LLC | Clinic/Center | 1805 Industrial Way, Clarksville, TX 75426 | 2015-05-06 |
| 1205235835 | Sandra Michelle Batts | Adult Companion | 205 Lovett, Clarksville, TX 75426 | 2014-08-20 |
| 1548690100 | Brian Agnew | Counselor | 106 N. Mlk, Clarksville, TX 75426 | 2013-11-19 |
| 1528252046 | Thomas Virgil Ragan Jr. | Dentist | 985 Farm Market Rd 1159, Clarksville, TX 75426 | 2007-08-28 |
| 1912914151 | Carrie Diane Hinton | Nurse Practitioner | 106 North Martin Luther King Blvd, Clarksville, TX 75426 | 2006-08-01 |
| 1326077041 | Red River Emergency Medicine Associates Pa | Physician Assistant | 3000 Hwy 82 W, Clarksville, TX 75426 | 2006-07-03 |
| 1922048693 | Kyle J Keeley | Physical Therapist | 2206-b West Main, Hwy 82, Clarksville, TX 75426 | 2006-06-08 |
| 1043395270 | Cvs Pharmacy Inc | Pharmacy | 1909 W Broadway St, Clarksville, TX 75426-2010 | 2006-10-26 |
| 1467761536 | Misty Dawn Perez | Pharmacist | 1909 W Broadway St, Clarksville, TX 75426-2010 | 2010-10-06 |
| Find all providers in zip 75426 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831691922 | Fpacp Clarksville LLC | Skilled Nursing Facility | 2407 West Main Highway 82, Clarksville, TX 75426 | 2018-03-05 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1962838748 | Rehab America | Skilled Nursing Facility | 900 Professional Park, Clarksville, TN 37040-0000 | 2013-09-24 |
| 1437593811 | Johnson County Health and Rehab, LLC | Skilled Nursing Facility | 1451 East Poplar St, Clarksville, AR 72830-0000 | 2013-04-29 |
| 1669640272 | Donna L Carron | Skilled Nursing Facility | 198 Farmer Rd, Clarksville, TN 37043-7010 | 2008-02-16 |
| 1891985131 | Lp Clarksville LLC | Skilled Nursing Facility | 198 Old Farmers Rd, Clarksville, TN 37043-4032 | 2007-08-01 |
| 1598837486 | Indiana Health & Rehabilitation Centers | Skilled Nursing Facility | 517 N Hallmark Dr, Clarksville, IN 47129-6629 | 2006-11-15 |
| 1477595775 | Integrity Healthcare of Clarksville, LLC | Skilled Nursing Facility | 111 Ussery Rd, Clarksville, TN 37043-4530 | 2006-06-12 |
| 1699736421 | Nexion Health At Bogata, Inc. | Skilled Nursing Facility | 2407 W Main St, Clarksville, TX 75426-3327 | 2006-03-31 |
| 1124015680 | Kmj Enterprises Clarksville LLC | Skilled Nursing Facility | 400 Oak Ct, Clarksville, AR 72830-3778 | 2005-09-30 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 75426 |
Please comment or provide details below to improve the information on TITUS COUNTY HOSPITAL DISTRICT.
| 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.