EAST TEXAS MEDICAL CENTER-CLARKSVILLE
NPI 1730114836
General Acute Care Hospital - Rural in Clarksville, TX

Active since July 11, 2006
3000 W MAIN ST, CLARKSVILLE, TX 75426(903) 427-6400(903) 427-2719 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • General Acute Care Hospital
  • Rural

About EAST TEXAS MEDICAL CENTER-CLARKSVILLE

This page provides the complete NPI Profile along with additional information for East Texas Medical Center-clarksville, a provider established in Clarksville, Texas operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1730114836 assigned on July 2006. The practitioner's primary taxonomy code is 282NR1301X with license number 000292 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. William Perry Henderson (Senior Administrator)

NPI
1730114836 Verify this NPI
Provider Name
EAST TEXAS MEDICAL CENTER-CLARKSVILLE
Entity Type
Organization
Location Address
3000 W MAIN ST CLARKSVILLE, TX 75426
Location Phone
(903) 427-6400
Location Fax
(903) 427-2719
Mailing Address
PO BOX 1304 PITTSBURG, TX 75686
Mailing Phone
(903) 427-6400
Mailing Fax
(903) 427-2719
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2006
Last Update Date
03-28-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Rural

Taxonomy Code
282NR1301X
Type
Hospitals
License No.
000292
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM PERRY HENDERSON

Authorized Official Title
SENIOR ADMINISTRATOR
Authorized Official Phone
(903) 946-5500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
130862901MEDICAID (05)TX 
0082AKMEDICARE ID-TYPE UNSPECIFIED (04)TXMEDICARE PROVIDER NUMBER

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Rural Health)
3000 W MAIN ST
CLARKSVILLE, TX 75426
Clinic/Center (Rural Health)
3000 W MAIN ST
CLARKSVILLE, TX 75426
General Acute Care Hospital (Rural)
3000 W MAIN ST
CLARKSVILLE, TX 75426

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730114836, enumerated as an "organization" on July 11, 2006.

The provider is located at 3000 W MAIN ST CLARKSVILLE, TX 75426 and the phone number is (903) 427-6400.

General Acute Care Hospital with taxonomy code 282NR1301X and a focus in Rural.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.