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East Texas Medical Center Jacksonville

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

physician-icon Basic Information

Practice Location 1325 N Dickinson Dr, Rusk, TX 75785-1051, US
Practice Location Phone903-683-3600
Practice Location Fax903-683-3692
Legal Business NameEAST TEXAS MEDICAL CENTER JACKSONVILLE
Other Organization NameETMC FIRST PHYSICIANS CLINIC RUSK
Other Organization Name TypeDoing Business As Name
NPI ?1972827822
Entity TypeOrganization
Enumeration Date ? Mar 22, 2010
Last Update Date ? Oct 31, 2011
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 Jacksonville

SpecialtySpecializationLicenseLicense State
Clinic/CenterRural Health

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

Provider IdIssuer StateIssuer TypeIssuer
283515901TexasMedicaid
458891TexasMedicare Oscar/certification
283515902TexasOtherTHSTEPS

official-icon Authorized Official of East Texas Medical Center Jacksonville

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

Authorized Official Mr. Jack R Endres
Authorized Official Title/PositionADMINISTRATOR
Authorized Official Phone Number903-541-5100