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CARTHAGE HOSPITAL, LLC
NPI 1407355860
Clinic/Center - Rural Health in Carthage, TX

Active since February 12, 2018CLIA 45D2050705 · Waiver
305 COTTAGE RD, CARTHAGE, TX 75633(903) 694-4948(903) 694-4671 Get Directions Write a Review

NPPES record last updated: October 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carthage Hospital, Llc NPPES

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

CARTHAGE HOSPITAL, LLC (NPI 1407355860) is a healthcare organization registered as a rural health in Carthage, Texas and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through December 4, 2026 and lists Stephen C. Petrovich, Evp, as its authorized official.

NPPES Registry Identity

NPI1407355860
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCARTHAGE HOSPITAL, LLC
Location Address305 COTTAGE RDCarthage, TX 75633-1511
Mailing Address340 Seven Springs Way Ste 100Brentwood, TN 37027-5697 · (615) 296-3000 · Fax (615) 296-6227
Phone(903) 694-4948
Fax(903) 694-4671
Organization SubpartYesParent: Ahs East Texas Health System, Llc
Authorized OfficialStephen C. PetrovichEvp · (615) 296-3000
Enumeration DateFebruary 12, 2018
Last NPPES UpdateOctober 1, 2023
NPPES CertifiedOctober 1, 2023
✔ NPI 1407355860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
305 COTTAGE RD, Carthage, TX 75633
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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 45D2050705

Carthage Hospital, LLC · Carthage, TX
Active · expires Dec 4, 2026
CLIA Number45D2050705
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorCraig Mcmullen
Laboratory Phone(903) 694-4948
Laboratory LocationCarthage Hospital, LLC305 Cottage Road, Carthage, TX 75633
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MRS. CICILY DIANNE CROSS-BLAIR FNP
Nurse Practitioner (Family)
305 COTTAGE RD
CARTHAGE, TX 75633
Panola County (903) 694-4948
EAST TEXAS MEDICAL CENTER CARTHAGE
Clinic/Center (Rural Health)
305 COTTAGE RD
CARTHAGE, TX 75633
Panola County (936) 590-4035

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 Carthage Hospital, LLC's NPI number?

The NPI number for Carthage Hospital, LLC is 1407355860. It was assigned to this organization in the NPPES registry on February 12, 2018.

Where is Carthage Hospital, LLC located?

Carthage Hospital, LLC is located at 305 Cottage Rd, Carthage, TX 75633. The listed phone number is (903) 694-4948.

What is Carthage Hospital, LLC's specialty?

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

Does Carthage Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2050705) is associated with this NPI, valid through December 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carthage 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 2 other insurers list Carthage 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 Carthage Hospital, LLC was last updated on October 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.