DICKERSON MEMORIAL HOSPITAL, LLC
NPI 1003939232
General Acute Care Hospital - Rural in Jasper, TX

Q: What is Dickerson Memorial Hospital, LLC's NPI number?

The NPI number for Dickerson Memorial Hospital, LLC is 1003939232. It was assigned to this organization in the NPPES registry on April 10, 2007.

Q: What is Dickerson Memorial Hospital, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

Active since April 10, 2007

1001 DICKERSON DR, JASPER, TX 75951(409) 383-2345(281) 447-6802 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dickerson Memorial Hospital, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DICKERSON MEMORIAL HOSPITAL, LLC (NPI 1003939232) is a healthcare organization registered as a rural in Jasper, Texas and active in the NPI registry since April 2007. The organization lists John Tatum, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003939232

Entity TypeOrganization

Primary Taxonomy282NR1301X

Legal Business NameDICKERSON MEMORIAL HOSPITAL, LLC

Location Address1001 DICKERSON DRJasper, TX 75951-5110

Mailing Address260 N Sam Houston Pkwy E, Suite 220Houston, TX 77060-2018 · (281) 447-6800 · Fax (281) 447-6802

Phone(409) 383-2345

Fax(281) 447-6802

Organization SubpartNo

Authorized OfficialJohn TatumAdministrator · (281) 447-6800

Enumeration DateApril 10, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003939232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals

Taxonomy Code282NR1301X

License✔ Licensed in TX · 007235

1001 DICKERSON DR, Jasper, TX 75951

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Other Identifiers 1

OtherHH0400TX · Bcbs Provider Id

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKEWOOD HOSPITAL LLC

General Acute Care Hospital (Rural)

1001 DICKERSON DR
JASPER, TX 75951

Jasper County (713) 661-0001

DR. DAVID ANTHONY MOSIG D.O.

Emergency Medicine

1001 DICKERSON DR
JASPER, TX 75951

Jasper County (409) 383-2337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dickerson Memorial Hospital, LLC's NPI number?

The NPI number for Dickerson Memorial Hospital, LLC is 1003939232. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Dickerson Memorial Hospital, LLC located?

Dickerson Memorial Hospital, LLC is located at 1001 Dickerson Dr, Jasper, TX 75951. The listed phone number is (409) 383-2345.

What is Dickerson Memorial Hospital, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

When was this NPI record last updated?

The NPPES record for Dickerson Memorial Hospital, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.