TIMBERLANDS HEALTHCARE, LLC (NPI# 1700269941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700269941 |
Entity Type | Organization |
Organization Name | TIMBERLANDS HEALTHCARE, LLC |
Other Organization Name | TIMBERLANDS HOSPITAL |
Practice Address |
1100 E Loop 304 Crockett TX 75835-1810 |
Mailing Address |
1 Chisholm Trl Ste 400 Round Rock TX 78681-5008 |
Practice Telephone | 9365463890 |
Practice Fax Number | 9365463892 |
Mailing Telephone | 9365443554 |
Enumeration Date | 2015-07-07 |
Last Update Date | 2016-10-20 |
Authorized Official Name | JEFFERY MADISON (CEO) |
Authorized Official Telephone | 5124464500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 100304 | TX | Hospital Units |
Other Name | Type Code |
---|---|
Timberlands Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205216090 | Timberlands Healthcare, LLC | Clinic/Center | 1050 E Loop 304, Suite 200, Crockett, TX 75835-1814 | 2015-06-05 |
1306223458 | Timberlands Healthcare, LLC | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2015-04-28 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Timberlands Healthcare, LLC | 1 Chisholm Trail, Suite 400, Round Rock, TX 78681 |
Alabama Business Registrations | Timberlands Healthcare, LLC | 1 Chisholm Trail, Suite 400, Round Rock, TX 78681 |
Street Address |
1100 E LOOP 304 |
City | CROCKETT |
State | TX |
Zip Code | 75835-1810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073500799 | East Texas Medical Center Crockett | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2005-09-29 |
1194334532 | Patrick Allen Harvey | Pharmacist | 1100 E Loop 304, Crockett, TX 75835-1810 | 2020-07-30 |
1114435260 | Crockett Medical Center, LLC | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2018-01-10 |
1306223458 | Timberlands Healthcare, LLC | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2015-04-28 |
1013301647 | Lifeguard Ambulanceservice of Texas, LLC | Ambulance | 1100 E Loop 304, Crockett, TX 75835-1810 | 2015-03-20 |
1588957856 | Walter Cody Cox | Emergency Medicine | 1100 E Loop 304, Crockett, TX 75835-1810 | 2011-05-19 |
1083835219 | East Texas Medical Center Crockett | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2007-05-02 |
1326101692 | East Texas Medical Center Crockett | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2006-12-18 |
1831251479 | East Texas Medical Center Crockett | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2006-12-13 |
1912081290 | East Texas Medical Center Crockett | Long Term Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2006-10-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568012862 | Ruby R. Adler | Technician | 2301 N 4th Street, Crockett, TX 75835 | 2019-09-18 |
1366712978 | Traditions Hospice of Madisonville, LLC | Hospice Care, Community Based | 600e Loop 304, Crockett, TX 75835 | 2012-01-12 |
1538458633 | Northeast Texas Home Health Agency Ltd | Home Health | 2001 E Houston Ave, Crockett, TX 75835 | 2011-03-30 |
1508096553 | D&c Medical Associates | Family Medicine | 1100 Loop 3048 East, Suite 200, Crockett, TX 75835 | 2009-07-23 |
1356466346 | John Vernon Garner | Dentist | 102 North Grace, Crockett, TX 75835 | 2007-03-20 |
1023148467 | Houston County Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 1703 E Hwy 21 E, Crockett, TX 75835 | 2007-03-06 |
1407944382 | Davy Crockett Drug, Inc. | Pharmacy | 107 S 4th St, Crockett, TX 75835 | 2006-10-10 |
1437177052 | John Allan Burnett | Emergency Medicine | 1100 Loop 340 E, Crockett, TX 75835 | 2006-07-18 |
1720022593 | Stanley Roger Speegle | Family Medicine | 1100 Loop 304 East, Crockett, TX 75835 | 2006-06-15 |
1649219809 | Jeanne M. Hopple | Nurse Practitioner | The Heart Institute of East Texas, Crocket, 951 E. Loop 304, Crockett, TX 75835 | 2006-06-05 |
Find all providers in zip 75835 |
Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508214222 | Trinity Diagnostic Clinic, P.a | Medicare Defined Swing Bed Unit | 6324 Southern Hills Dr, Fort Worth, TX 76132-4485 | 2016-06-03 |
1710224647 | Caroline Chioma Ukachukwu | Medicare Defined Swing Bed Unit | 6565 Fannin St. Mgj. Suit 11, The Methodist Hospital, Mary Gibbs, Houston, TX 77030 | 2013-01-11 |
1023353752 | Eastland Memorial Hospital District | Medicare Defined Swing Bed Unit | 304 South Daugherty Street, Eastland, TX 76448 | 2012-12-06 |
1447574819 | Frio Hospital Association | Medicare Defined Swing Bed Unit | 200 S Ih 35, Pearsall, TX 78061-6601 | 2010-03-15 |
1952567588 | Preferred Hospital Leasing Junction, Inc | Medicare Defined Swing Bed Unit | 349 Reid Rd, Junction, TX 76849-3049 | 2008-08-04 |
1699939421 | Preferred Hospital Leasing Hemphill, Inc. | Medicare Defined Swing Bed Unit | 2301 State Highway 83w, Hemphill, TX 75948-0750 | 2008-07-10 |
1801087630 | Mitchell County Hospital District | Medicare Defined Swing Bed Unit | 997 West I-20, Colorado City, TX 79512 | 2007-08-07 |
1023138781 | Throckmorton County Memorial Hosp | Medicare Defined Swing Bed Unit | 802 N. Minter Ave., Throckmorton, TX 76483-5357 | 2007-03-29 |
1093839839 | Muenster Hospital District | Medicare Defined Swing Bed Unit | 605 N Maple, Muesnter, TX 76252-2424 | 2007-03-19 |
1841371739 | Jackson County Hospital District | Medicare Defined Swing Bed Unit | 1013 S Wells Street, Edna, TX 77957-4098 | 2006-10-18 |
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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.