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QUITMAN HOSPITAL LLC
NPI 1205336609
Internal Medicine in Quitman, TX

Active since February 13, 2018CLIA Certified · 2 labs
117 N WINNSBORO ST, QUITMAN, TX 75783(903) 763-6220(903) 763-6221 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Quitman Hospital Llc NPPES

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

QUITMAN HOSPITAL LLC (NPI 1205336609) is a healthcare organization registered as an internal medicine in Quitman, Texas and active in the NPI registry since February 2018. The organization holds 2 active CLIA laboratory certificates and lists Stephen C. Petrovich, Evp, as its authorized official.

NPPES Registry Identity

NPI1205336609
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameQUITMAN HOSPITAL LLC
Location Address117 N WINNSBORO STQuitman, TX 75783-2144
Mailing Address1 Burton Hills Blvd Ste 250Nashville, TN 37215-6195 · (615) 296-3000 · Fax (615) 296-6227
Phone(903) 763-6220
Fax(903) 763-6221
Organization SubpartNo
Authorized OfficialStephen C. PetrovichEvp · (615) 296-3000
Enumeration DateFebruary 13, 2018
✔ NPI 1205336609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

117 N WINNSBORO ST, Quitman, TX 75783
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 45D0483678

Quitman Hospital, LLC · Quitman, TX
Active · expires Jul 2, 2028
CLIA Number45D0483678
Laboratory TypeHospital
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorLorenz Schmiege III
Laboratory Phone(903) 763-6310
Laboratory LocationQuitman Hospital, LLC117 North Winnsboro St, Quitman, TX 75783
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 45D1017212

Quitman Hospital, LLC · Quitman, TX
Active · expires Feb 29, 2028
CLIA Number45D1017212
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorChristian Ferrer
Laboratory Phone(903) 763-6310
Laboratory LocationQuitman Hospital, LLC117 North Winnsboro Street Attn Lab Kenni Monk, Quitman, TX 75783
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 20

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

DR. ROBERT VAN BLAIR MD
Surgery
117 N WINNSBORO ST
QUITMAN, TX 75783
Wood County (903) 763-6221
TRACY LYNN WHINERY NP
Nurse Practitioner
117 N WINNSBORO ST
QUITMAN, TX 75783
Wood County (903) 763-6220
QUITMAN HOSPITAL LLC
Clinic/Center (Rural Health)
117 N WINNSBORO ST
QUITMAN, TX 75783
Wood County (903) 763-6220
GEORGE V CATHEY JR. MD
Family Medicine
117 N WINNSBORO ST
QUITMAN, TX 75783
Wood County (903) 763-2224
CHRISTIAN FERRER MD
Family Medicine
117 N WINNSBORO ST
QUITMAN, TX 75783
Wood County (903) 763-6220
EAST TEXAS MEDICAL CENTER QUITMAN
General Acute Care Hospital (Critical Access)
117 N WINNSBORO ST
QUITMAN, TX 75783
Wood County (903) 763-6300
WOOD EMERGENCY MEDICINE ASSOCIATES PA
Emergency Medicine
117 N WINNSBORO ST
QUITMAN, TX 75783
Wood County (800) 893-9698
PAULA JEAN DIBENEDETTO ARNP
Nurse Practitioner (Gerontology)
117 N WINNSBORO ST
QUITMAN, TX 75783
Wood County (037) 636-2209

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 1205336609. It was assigned to this organization in the NPPES registry on February 13, 2018.

Where is Quitman Hospital LLC located?

Quitman Hospital LLC is located at 117 N Winnsboro St, Quitman, TX 75783. The listed phone number is (903) 763-6220.

What is Quitman Hospital LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Quitman Hospital LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Quitman Hospital LLC was last updated on February 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.