ETMC CROCKETT FAMILY MEDICAL CENTER RHC
NPI 1962483453
Clinic/Center - Rural Health in Crockett, TX

Active since November 10, 2005
1100 E LOOP 304, SUITE 200, CROCKETT, TX 75835(936) 544-5132(936) 544-3792 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Etmc Crockett Family Medical Center Rhc NPPES

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

ETMC CROCKETT FAMILY MEDICAL CENTER RHC (NPI 1962483453) is a healthcare organization registered as a rural health in Crockett, Texas and active in the NPI registry since November 2005. The organization lists Terry Cutler, Administrator, as its authorized official.

NPPES Registry Identity

NPI1962483453
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEAST TEXAS MEDICAL CENTER
Location Address1100 E LOOP 304, SUITE 200Crockett, TX 75835-1810
Mailing AddressPo Box 1304Pittsburg, TX 75686-2203 · (936) 544-5132 · Fax (936) 544-3792
Fax(936) 544-3792
Organization SubpartNo
Authorized OfficialTerry CutlerAdministrator · (936) 546-3862
Enumeration DateNovember 10, 2005
Last NPPES UpdateFebruary 24, 2015
NPI 1962483453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1100 E LOOP 304, Crockett, TX 75835

Other Names 1

Doing Business AsEtmc Crockett Family Medical Center Rhc

Other Identifiers 2

Medicaid095181602TX
Medicare ID-Type Unspecified453411TX

Other Providers at the Same Location NPPES 18

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

Ambulance
1100 E LOOP 304
CROCKETT, TX 75835
General Acute Care Hospital
1100 E LOOP 304
CROCKETT, TX 75835
General Acute Care Hospital
1100 E LOOP 304
CROCKETT, TX 75835
General Acute Care Hospital (Critical Access)
1100 E LOOP 304
CROCKETT, TX 75835
Nurse Practitioner
1100 E LOOP 304
CROCKETT, TX 75835
Internal Medicine (Nephrology)
1100 E LOOP 304
CROCKETT, TX 75835
Pharmacist (Psychiatric)
1100 E LOOP 304
CROCKETT, TX 75835
Internal Medicine (Nephrology)
1100 E LOOP 304
CROCKETT, TX 75835

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 East Texas Medical Center's NPI number?

The NPI number for East Texas Medical Center is 1962483453. It was assigned to this organization in the NPPES registry on November 10, 2005. The provider is doing business as Etmc Crockett Family Medical Center Rhc.

Where is East Texas Medical Center located?

East Texas Medical Center is located at 1100 E Loop 304 Suite 200, Crockett, TX 75835. The listed phone number is (936) 544-5132.

What is East Texas Medical Center's specialty?

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

When was this NPI record last updated?

The NPPES record for East Texas Medical Center was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.