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East Texas Medical Center Fairfield

East Texas Medical Center Fairfield is a health care provider in Athens, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 125 Newman St, Fairfield, TX 75840-1419, US
Practice Location Phone903-389-2121
Practice Location Fax
Legal Business NameEAST TEXAS MEDICAL CENTER FAIRFIELD
NPI ?1578542098
Entity TypeOrganization
Enumeration Date ? Jan 12, 2006
Last Update Date ? May 26, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of East Texas Medical Center Fairfield

SpecialtySpecializationLicenseLicense State
Clinic/CenterAmbulatory Surgical 000401Texas
Clinic/CenterRural Health 000401Texas
Medicare Defined Swing Bed Unit 000401Texas
General Acute Care Hospital 000401Texas

legacy-id-icon Legacy Provider IDs of East Texas Medical Center Fairfield

Provider IdIssuer StateIssuer TypeIssuer
094190802TexasMedicaid
063474301TexasMedicaid
0098DQTexasOtherBLUE CROSS BLUE SHIELD
45U658TexasMedicare Id-type Unspecified
450658TexasMedicare Id-type Unspecified
HH0713TexasOtherBLUE CROSS BLUE SHIELD
458502TexasMedicare Id-type Unspecified
094190801TexasMedicaid
063474302TexasMedicaid

official-icon Authorized Official of East Texas Medical Center Fairfield

An authorized official is an appointed official with the legal authority to make changes and/or updates to the East Texas Medical Center Fairfield's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ms. Raz Cook
Authorized Official Title/PositionHOPSITAL ADMINISTRATOR
Authorized Official Phone Number903-389-1616