ETMC FIRST PHYSICIANS CLINIC JACKSONVILLE
NPI 1821366170
Clinic/Center - Rural Health in Jacksonville, TX

Active since December 01, 2011
203 NACOGDOCHES ST, SUITE 280, JACKSONVILLE, TX 75766(903) 541-5396(903) 541-5393 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Rural Health

About ETMC FIRST PHYSICIANS CLINIC JACKSONVILLE

This page provides the complete NPI Profile along with additional information for Etmc First Physicians Clinic Jacksonville, a primary care provider established in Jacksonville, Texas operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1821366170 assigned on December 2011. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Etmc First Physicians Clinic Jacksonville. The authorized official of this NPI record is Mr. Jack R Endres (Administrator)

NPI
1821366170 Verify this NPI
Provider Legal Name
EAST TEXAS MEDICAL CENTER JACKSONVILLE
Other Organization Name
ETMC FIRST PHYSICIANS CLINIC JACKSONVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
203 NACOGDOCHES ST SUITE 280 JACKSONVILLE, TX 75766
Location Phone
(903) 541-5396
Location Fax
(903) 541-5393
Mailing Address
501 S RAGSDALE ST ADMINISTRATION JACKSONVILLE, TX 75766
Mailing Phone
(903) 541-5100
Mailing Fax
(903) 541-5068
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2011
Last Update Date
11-08-2012
Code Navigator

A primary care provider (PCP) like Etmc First Physicians Clinic Jacksonville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

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. JACK R ENDRES

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(903) 541-5100

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
130612807MEDICAID (05)TX 
673400MEDICARE OSCAR/CERTIFICATION (06)TX 
130612808OTHER (01)TXTHSTEPS

Reviews for ETMC FIRST PHYSICIANS CLINIC JACKSONVILLE

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
203 NACOGDOCHES ST, STE 350
JACKSONVILLE, TX 75766
Internal Medicine
203 NACOGDOCHES ST, STE 290
JACKSONVILLE, TX 75766
Surgery
203 NACOGDOCHES ST, SUITE 260
JACKSONVILLE, TX 75766
Durable Medical Equipment & Medical Supplies
203 NACOGDOCHES ST, SUITE 150
JACKSONVILLE, TX 75766
Internal Medicine
203 NACOGDOCHES ST, SUITE 180
JACKSONVILLE, TX 75766
Pediatrics
203 NACOGDOCHES ST, SUITE 275
JACKSONVILLE, TX 75766
Orthopaedic Surgery
203 NACOGDOCHES ST, SUITE 150
JACKSONVILLE, TX 75766
Nurse Practitioner (Pediatrics)
203 NACOGDOCHES ST, SUITE 280
JACKSONVILLE, TX 75766
Obstetrics & Gynecology (Obstetrics)
203 NACOGDOCHES ST, SUITE 280
JACKSONVILLE, TX 75766

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821366170, enumerated as an "organization" on December 01, 2011.

The provider is located at 203 NACOGDOCHES ST SUITE 280 JACKSONVILLE, TX 75766 and the phone number is (903) 541-5396.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

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