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GOOD SHEPHERD GLENN-GARRETT CLINIC - JEFFERSON
NPI 1114985876
Clinic/Center - Rural Health in Jefferson, TX

Active since May 03, 2006
903 N WALCOTT ST, JEFFERSON, TX 75657(903) 665-9500(903) 665-9501 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Good Shepherd Glenn-garrett Clinic - Jefferson NPPES

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

GOOD SHEPHERD GLENN-GARRETT CLINIC - JEFFERSON (NPI 1114985876) is a healthcare organization registered as a rural health in Jefferson, Texas and active in the NPI registry since May 2006. The organization lists Ed D Banos, President, as its authorized official.

NPPES Registry Identity

NPI1114985876
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGOOD SHEPHERD MEDICAL CENTER - LINDEN, INC
Location Address903 N WALCOTT STJefferson, TX 75657-1128
Mailing Address404 N Kaufman StLinden, TX 75563-5234 · (903) 756-5581 · Fax (903) 756-5005
Phone(903) 665-9500
Fax(903) 665-9501
Organization SubpartYes
Authorized OfficialEd D BanosPresident · (903) 315-1811
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 26, 2011
✔ NPI 1114985876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
903 N WALCOTT ST, Jefferson, TX 75657
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Other Names 1

Doing Business AsGood Shepherd Glenn-garrett Clinic - Jefferson

Other Identifiers 6

Other0504760001Dme
OtherCP3371Railroad Medicare
Medicaid130943706TX
Other00H878Bc Bs Of Texas
Other127650Superior
Medicare OSCAR/certification458884TX

Other Providers at the Same Location NPPES

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

WILLIAM LOUIS CASTLEMAN
Massage Therapist
903 N WALCOTT ST
JEFFERSON, TX 75657
Marion County (903) 665-9500

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 Good Shepherd Medical Center - Linden, Inc's NPI number?

The NPI number for Good Shepherd Medical Center - Linden, Inc is 1114985876. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is doing business as Good Shepherd Glenn-Garrett Clinic - Jefferson.

Where is Good Shepherd Medical Center - Linden, Inc located?

Good Shepherd Medical Center - Linden, Inc is located at 903 N Walcott St, Jefferson, TX 75657. The listed phone number is (903) 665-9500.

What is Good Shepherd Medical Center - Linden, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Good Shepherd Medical Center - Linden, Inc was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.