Organization · Type 2 NPI

East Texas Medical Center Carthage

Rural Health Clinic/Center · Carthage, TX

NPI number 1629314539 Active

Practice location

305 Cottage Rd
Carthage, TX 75633-1511

Call (936) 590-4035 Map

Fax (936) 590-4146

Mailing address

409 Cottage Rd
Carthage, TX 75633-1466

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

Carthage Hospital, LLCRural Health Clinic/Center Carthage, TX NPI 1407355860
Cicily Dianne Cross-Blair, FNPFamily Nurse Practitioner Carthage, TX NPI 1205105319

Other rural health clinic/center providers in Carthage

See all in Carthage →

NPI record

NPI: 1629314539
Entity type: Organization (Type 2)
Issued: Dec 20, 2012
Last updated: Aug 14, 2014
Status: Active
Subpart: Yes of East Texas Medical Center Carthage

Other names

<unavail>
Etmc First Physicians Clinic Center III · doing business as

Authorized official

Mr. Gary M Hudson
Administrator
(903) 694-4652

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1629314539

East Texas Medical Center Carthage's National Provider Identifier is 1629314539, issued on Dec 20, 2012. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Carthage, TX. The record was last updated on Aug 14, 2014.