1. Home
  2. Directory
  3. Texas
  4. Mineola
  5. Clinic Center
  6. NPI Profile

QUITMAN HOSPITAL LLC
NPI 1205335726
Clinic/Center - Rural Health in Mineola, TX

Active since February 10, 2018CLIA 45D0483656 · Waiver
1220 N PACIFIC ST, MINEOLA, TX 75773(903) 569-6124(903) 569-2467 Get Directions Write a Review

NPPES record last updated: October 1, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Quitman Hospital Llc NPPES

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

QUITMAN HOSPITAL LLC (NPI 1205335726) is a healthcare organization registered as a rural health in Mineola, Texas and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Stephen C. Petrovich, Evp, as its authorized official.

NPPES Registry Identity

NPI1205335726
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameQUITMAN HOSPITAL LLC
Location Address1220 N PACIFIC STMineola, TX 75773-1054
Mailing Address340 Seven Springs Way Ste 100Brentwood, TN 37027-5697 · (615) 296-3000 · Fax (615) 296-6227
Phone(903) 569-6124
Fax(903) 569-2467
Organization SubpartYesParent: Ahs East Texas Health System, Llc
Authorized OfficialStephen C. PetrovichEvp · (615) 296-3000
Enumeration DateFebruary 10, 2018
Last NPPES UpdateOctober 1, 2023
NPPES CertifiedOctober 1, 2023
✔ NPI 1205335726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1220 N PACIFIC ST, Mineola, TX 75773
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0483656

Quitman Hospital, LLC · Mineola, TX
Active · expires Sep 19, 2027
CLIA Number45D0483656
Laboratory TypeOther
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorCraig M. Mcmullen
Laboratory Phone(903) 763-6310
Laboratory LocationQuitman Hospital, LLC1220 North Pacific, Mineola, TX 75773
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. CRAIG MCMULLEN M.D.
Family Medicine
1220 N PACIFIC ST
MINEOLA, TX 75773
Wood County (903) 569-6124
EAST TEXAS MEDICAL CENTER QUITMAN
Clinic/Center (Rural Health)
1220 N PACIFIC ST
MINEOLA, TX 75773
Wood County (903) 569-6124
JENNIFER LENAE HURT-FRAZIER FNP
Nurse Practitioner (Family)
1220 N PACIFIC ST
MINEOLA, TX 75773
Wood County (903) 569-6124

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 Quitman Hospital LLC's NPI number?

The NPI number for Quitman Hospital LLC is 1205335726. It was assigned to this organization in the NPPES registry on February 10, 2018.

Where is Quitman Hospital LLC located?

Quitman Hospital LLC is located at 1220 N Pacific St, Mineola, TX 75773. The listed phone number is (903) 569-6124.

What is Quitman Hospital LLC's specialty?

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

Does Quitman Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0483656) is associated with this NPI, valid through September 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Quitman Hospital LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Quitman Hospital LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Quitman Hospital LLC was last updated on October 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.