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ETMC CROCKETT
NPI 1073500799
General Acute Care Hospital in Crockett, TX

Active since September 29, 2005
1100 E LOOP 304, CROCKETT, TX 75835(936) 546-3803(936) 546-3816 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Etmc Crockett NPPES

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

ETMC CROCKETT (NPI 1073500799) is a healthcare organization registered as a general acute care hospital in Crockett, Texas and active in the NPI registry since September 2005. The organization lists Stacy Bailey Dise, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073500799
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameEAST TEXAS MEDICAL CENTER CROCKETT
Location Address1100 E LOOP 304Crockett, TX 75835-1810
Mailing AddressPo Box 1129Crockett, TX 75835-1129 · (936) 546-3862 · Fax (936) 546-3816
Phone(936) 546-3803
Fax(936) 546-3816
Organization SubpartNo
Authorized OfficialStacy Bailey DiseBusiness Office Manager · (936) 546-3810
Enumeration DateSeptember 29, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073500799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in TX · 000185
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1100 E LOOP 304, Crockett, TX 75835
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Other Names 1

Doing Business AsEtmc Crockett

Other Providers at the Same Location NPPES 18

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

LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC
Ambulance
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 544-4505
EAST TEXAS MEDICAL CENTER CROCKETT
General Acute Care Hospital
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-3862
MID COAST MEDICAL CENTER CROCKETT INC
General Acute Care Hospital (Critical Access)
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (512) 617-7505
MR. MARK RAY SHEETS FNP-C
Nurse Practitioner
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-3891
KEVIN ALAN CURRAN M.D.
Internal Medicine (Nephrology)
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-2288
PATRICK ALLEN HARVEY
Pharmacist (Psychiatric)
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-3891
KEVIN A CURRAN MD PA
Internal Medicine (Nephrology)
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-2288
TIMBERLANDS HEALTHCARE, LLC
General Acute Care Hospital
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 544-3554

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 East Texas Medical Center Crockett's NPI number?

The NPI number for East Texas Medical Center Crockett is 1073500799. It was assigned to this organization in the NPPES registry on September 29, 2005. The provider is doing business as Etmc Crockett.

Where is East Texas Medical Center Crockett located?

East Texas Medical Center Crockett is located at 1100 E Loop 304, Crockett, TX 75835. The listed phone number is (936) 546-3803.

What is East Texas Medical Center Crockett's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for East Texas Medical Center Crockett 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.