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ETMC FIRST PHYSICIANS CLINIC RUSK
NPI 1972827822
Clinic/Center - Rural Health in Rusk, TX

Active since March 22, 2010
1325 N DICKINSON DR, RUSK, TX 75785(903) 683-3600(903) 683-3692 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Etmc First Physicians Clinic Rusk NPPES

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

ETMC FIRST PHYSICIANS CLINIC RUSK (NPI 1972827822) is a healthcare organization registered as a rural health in Rusk, Texas and active in the NPI registry since March 2010. The organization lists Jack R Endres, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972827822
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEAST TEXAS MEDICAL CENTER JACKSONVILLE
Location Address1325 N DICKINSON DRRusk, TX 75785-1051
Mailing Address501 S Ragsdale StJacksonville, TX 75766-2434 · (903) 541-5100 · Fax (903) 541-5068
Phone(903) 683-3600
Fax(903) 683-3692
Organization SubpartNo
Authorized OfficialJack R EndresAdministrator · (903) 541-5100
Enumeration DateMarch 22, 2010
Last NPPES UpdateOctober 31, 2011
✔ NPI 1972827822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1325 N DICKINSON DR, Rusk, TX 75785
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Other Names 1

Doing Business AsEtmc First Physicians Clinic Rusk

Other Identifiers 3

Medicaid283515901TX
Medicare OSCAR/certification458891TX
Other283515902TX · Thsteps

Other Providers at the Same Location NPPES 5

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

BONNER EMERGENCY MEDICINE ASSOCIATES PA
Emergency Medicine
1325 N DICKINSON DR
RUSK, TX 75785
Cherokee County (903) 683-3601
MISTY FERGUSSON
Nurse Practitioner (Family)
1325 N DICKINSON DR
RUSK, TX 75785
Cherokee County (903) 683-3600
LISA KATHRYN TRAWICK NP
Nurse Practitioner (Family)
1325 N DICKINSON DR
RUSK, TX 75785
Cherokee County (903) 683-5555
JACKSONVILLE HOSPITAL LLC
Clinic/Center (Rural Health)
1325 N DICKINSON DR
RUSK, TX 75785
Cherokee County (903) 583-3600
SHANA L BROWN CNP
Nurse Practitioner
1325 N DICKINSON DR
RUSK, TX 75785
Cherokee County (903) 683-3600

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 Jacksonville's NPI number?

The NPI number for East Texas Medical Center Jacksonville is 1972827822. It was assigned to this organization in the NPPES registry on March 22, 2010. The provider is doing business as Etmc First Physicians Clinic Rusk.

Where is East Texas Medical Center Jacksonville located?

East Texas Medical Center Jacksonville is located at 1325 N Dickinson Dr, Rusk, TX 75785. The listed phone number is (903) 683-3600.

What is East Texas Medical Center Jacksonville'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 Jacksonville was last updated on October 31, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.