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: July 19, 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
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

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.

Massage Therapist
903 N WALCOTT ST
JEFFERSON, TX 75657

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 with the weekly NPPES data releases published by CMS.