GOOD SHEPHERD MEDICAL CENTER (NPI# 1578691853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578691853 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD MEDICAL CENTER |
| Practice Address |
700 E Marshall Ave Longview TX 75601-5580 |
| Practice Telephone | 9033152000 |
| Mailing Telephone | 9033152000 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | EDWARD BANOS (CEO) |
| Authorized Official Telephone | 9033152000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
TX | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841521655 | Good Shepherd Medical Center | Nurse Anesthetist, Certified Registered | 718 Hollybrook Dr, Longview, TX 75605-2469 | 2010-01-18 |
| 1518283217 | Good Shepherd Medical Center | Clinical Medical Laboratory | 700 E Marshall Ave, Longview, TX 75601-5580 | 2010-04-20 |
| 1558446419 | Good Shepherd Medical Center | Ambulance | 700 E Marshall Ave, Longview, TX 75601-5580 | 2006-10-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GOOD SHEPHERD MEDICAL CENTER | 610 Nw 11th St, Hermiston, OR 97838 |
| Street Address |
700 E MARSHALL AVE |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629990 | Sushama S Brimmer | Internal Medicine | 700 E Marshall Ave, Longview, TX 75601-5580 | 2005-06-17 |
| 1760091193 | Josslyn Hastie Morgan | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2020-07-31 |
| 1063058220 | Joseph Alton Mcree | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601-5580 | 2019-11-22 |
| 1477103414 | Dominique S. Harnage | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2019-09-11 |
| 1831756444 | Lakshay Jain | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601-5580 | 2019-05-20 |
| 1104480383 | Rachel Mcfarland | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2019-04-23 |
| 1407336977 | Jennifer Michelle Wood | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2018-08-15 |
| 1760971105 | Joyce Ebobosere Gentry | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2018-05-01 |
| 1609373943 | Peter Mcneill | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601 | 2018-04-12 |
| 1932606241 | Arti Khatri | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601 | 2018-04-12 |
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|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
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| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1366815144 | Longview Er Operations LLC | Clinic/Center | 3111 Mccann Rd, Longview, TX 75605-7842 | 2015-11-03 |
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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.