BRIM HEALTHCARE OF TEXAS LLC NPI 1023297082

Clinic/Center (Ambulatory Surgical) in Texarkana, TX

NPI 1023297082 Organization Clinic/Center Ambulatory Surgical

About BRIM HEALTHCARE OF TEXAS LLC

Brim Healthcare Of Texas Llc is a provider established in Texarkana, Texas specializing in clinic/center (ambulatory surgical) . The NPI number of Brim Healthcare Of Texas Llc is 1023297082 and was assigned on October 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 000144 (TX). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Thomas D. Gilbert (Hospital Ceo)

NPI

1023297082

Provider NameBRIM HEALTHCARE OF TEXAS LLC
Provider Location Address1000 PINE ST DAY SURGERY UNIT TEXARKANA, TX 75501
Provider Mailing Address1000 PINE ST ATTN: BILLING TEXARKANA, TX 75501
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-26-2007
Last Update Date05-07-2018


Primary Taxonomy

Taxonomy Code261QA1903X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical
License No.000144
License StateTX

Business Address

BRIM HEALTHCARE OF TEXAS LLC
1000 PINE ST
DAY SURGERY UNIT
TEXARKANA, TX
ZIP 75501
Phone: (903) 798-8000
Fax: (903) 798-7725

Get Directions


Mailing Address

BRIM HEALTHCARE OF TEXAS LLC
1000 PINE ST
ATTN: BILLING
TEXARKANA, TX
ZIP 75501
Phone: (903) 798-8000
Fax: (903) 798-8030



Authorized Official

Authorized Official Name THOMAS D. GILBERT
Authorized Official TitleHOSPITAL CEO
Authorized Official Phone(903) 798-8001

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
207311603MEDICAID (05)TX

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023019668DR. MARK MCCRARY M.D.
Individual
Emergency Medicine1000 PINE ST
TEXARKANA, TX 75501
(903) 798-8868
1043268071 RICHARD LOEFFLER CRNA
Individual
Nurse Anesthetist, Certified Registered1000 PINE ST
TEXARKANA, TX 75501
(903) 427-3851
1073552741 CHARLES NIZIOL MD
Individual
Emergency Medicine1000 PINE ST
TEXARKANA, TX 75501
(903) 798-8887
1104967280MS. LYNN JORGENSEN-BENEFIEL R.PH.
Individual
Pharmacist1000 PINE ST PHARMACY DEPARTMENT
TEXARKANA, TX 75501
(903) 798-7044
1114928892DR. MALCOLM MACHAUER M.D.
Individual
Emergency Medicine1000 PINE ST
TEXARKANA, TX 75501
(903) 798-8880
1295830818 ELLEN R. SMITH R.PH.
Individual
Pharmacist1000 PINE ST
TEXARKANA, TX 75501
(903) 798-7032
1366772261MR. RICHARD A. ROBERTS CRNA
Individual
Nurse Anesthetist, Certified Registered1000 PINE ST
TEXARKANA, TX 75501
(903) 427-3851
1427010123 JULIE A DICAPRIO RD
Individual
Dietitian, Registered1000 PINE ST
TEXARKANA, TX 75501
(903) 798-8000
1467519165MRS. SARA GREATHOUSE WHNP
Individual
Nurse Practitioner1000 PINE ST
TEXARKANA, TX 75501
(903) 798-7374
1497812192 KERRY GAYLE BRUNER APN,FNP, BC
Individual
Nurse Practitioner1000 PINE ST
TEXARKANA, TX 75501
(903) 798-8000
1518920891 AMY ROBERTS CARMELI RD
Individual
Dietitian, Registered1000 PINE ST
TEXARKANA, TX 75501
(903) 798-7260
1548223829 AMBER L EASLEY RD
Individual
Dietitian, Registered1000 PINE ST
TEXARKANA, TX 75501
(903) 798-7260
1558314062TEXAS EM-1 MEDICAL SERVICES, PA
Organization
Physician Assistant1000 PINE ST
TEXARKANA, TX 75501
(903) 798-8887
1588691646 STACY WELLS CRNA
Individual
Nurse Anesthetist, Certified Registered1000 PINE ST
TEXARKANA, TX 75501
(903) 798-7365
1598713521 RICHARD HENNESSEY CRNA
Individual
Nurse Anesthetist, Certified Registered1000 PINE ST
TEXARKANA, TX 75501
(903) 798-7365
1598723215 MARTIN MCINTOSH CRNA
Individual
Nurse Anesthetist, Certified Registered1000 PINE ST
TEXARKANA, TX 75501
(903) 798-7365
1649275496 DAVID LEE CARLISLE MD
Individual
Specialist1000 PINE ST
TEXARKANA, TX 75501
(903) 798-7365
1720046444MEDICAL CENTER MEDICAL GROUP
Organization
Anesthesiology1000 PINE ST
TEXARKANA, TX 75501
(903) 798-7365
1720089360DR. ROBERT FRY M.D.
Individual
Emergency Medicine1000 PINE ST
TEXARKANA, TX 75501
(903) 798-8898
1922051440FOUR STATES EMERGENCY PHYSICIANS
Organization
Emergency Medicine1000 PINE ST
TEXARKANA, TX 75501
(903) 798-8887

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.