GOOD SHEPHERD MEDICAL CENTER - LINDEN INC (NPI# 1780649509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780649509 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD MEDICAL CENTER - LINDEN INC |
| Practice Address |
404 N Kaufman St Linden TX 75563-5234 |
| Practice Telephone | 9037565561 |
| Practice Fax Number | 9037563718 |
| Mailing Telephone | 9037565561 |
| Mailing Fax Number | 9037563718 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | EDWARD BANOS (CEO) |
| Authorized Official Telephone | 9033152000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
008221 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS PROV# | HH0386 | 01 |
| TX | 183315401 | 05 | |
| TX | BLUE CROSS/PROFESSIONAL PROVIDER # | 0004NP | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669541199 | Good Shepherd Medical Center - Linden Inc | Medicare Defined Swing Bed Unit | 404 N Kaufman St, Linden, TX 75563-5234 | 2006-11-07 |
| Street Address |
404 N KAUFMAN ST |
| City | LINDEN |
| State | TX |
| Zip Code | 75563-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730403361 | Casey Reed | Specialist/Technologist | 404 N Kaufman St, Linden, TX 75563-5234 | 2010-03-25 |
| 1669541199 | Good Shepherd Medical Center - Linden Inc | Medicare Defined Swing Bed Unit | 404 N Kaufman St, Linden, TX 75563-5234 | 2006-11-07 |
| 1316024011 | Amy R. Varnell | Pharmacist | 404 N Kaufman St, Linden, TX 75563-5234 | 2006-11-01 |
| 1265489322 | Harry James Olivella | Physician Assistant | 404 N Kaufman St, Linden, TX 75563-5234 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376043109 | Ruby Anilu Velazquez | Technician | 1265 Cr 1762, Linden, TX 75563 | 2018-02-19 |
| 1790187813 | Community Services of Northeast Texas, Inc. | Voluntary or Charitable | 304 E Houston St, Box 427, Linden, TX 75563 | 2014-09-19 |
| 1730222738 | Powers Pharmacy No 1 Inc | Pharmacy | 702 West Houston Street, Linden, TX 75563 | 2007-02-15 |
| 1891877007 | Kathy Russell | Dentist | 103 Church St, Linden, TX 75563 | 2006-10-19 |
| 1659341519 | Gordon Franklin Green | Internal Medicine | 402 N Kaufman St, Linden, TX 75563 | 2006-01-24 |
| 1598897944 | Community Services of Northeast Texas, Inc | Case Manager/Care Coordinator | 304 E Houston, Linden, TX 75563-0427 | 2007-03-12 |
| 1265694798 | Hospice Peachtree, LLC | Hospice Care, Community Based | 129 W Houston, Linden, TX 75563-1538 | 2008-06-26 |
| 1467952325 | Laveta Sue Raynes | Licensed Vocational Nurse | 221 County Road 1914, Linden, TX 75563-4111 | 2018-02-17 |
| 1881605871 | Linden Drug Co Inc | Pharmacy | 400 N Kaufman St, Linden, TX 75563-5234 | 2006-08-11 |
| 1821000852 | B2tf Ltc Pharmacy LLC | Pharmacy | 403 North Kaufman Street, Linden, TX 75563-5234 | 2006-08-11 |
| Find all providers in zip 75563 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1164772216 | Methodist West Houston Hospital | General Acute Care Hospital | 5807 Grand Saline Dr, Richmond, TX 77469-6173 | 2012-09-17 |
| 1528367356 | Liberty County Hospital District No 1 | General Acute Care Hospital | 1353 N Travis, Liberty, TX 77575-3549 | 2011-03-18 |
| 1669613105 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 1404 Savoy Ct, Colleyville, TX 76034-6267 | 2009-03-12 |
| 1578724811 | Vaishali Kawaduji Bhusari | General Acute Care Hospital | 4555 Lorraine Ave, Dallas, TX 75205-3612 | 2008-06-19 |
| 1548457682 | Audie Murphy Va Hospital | General Acute Care Hospital | 4041 Merton Minter, San Antonio, TX 78229 | 2007-10-03 |
| 1033309323 | George Daniel Williamson | General Acute Care Hospital | 5087 E State Highway 22, Hamilton, TX 76531-1355 | 2007-08-01 |
| 1396861324 | Dr. Carlos F. Morales Md. | General Acute Care Hospital | 4414 Centerview Dr., Ste 168, San Antonio, TX 78228-1404 | 2007-03-21 |
| 1780786699 | Palacios Community Medical Center | General Acute Care Hospital | 311 Green Ave, Palacios, TX 77465-3213 | 2006-09-01 |
| 1033229778 | Va Hospital | General Acute Care Hospital | 8222 Lone Bridge Ln, Humble, TX 77338-1726 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
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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.