| East Texas Medical Center Pittsburg | |
|
2701 U.s. Hwy 271 N Pittsburg TX 75686-4289 | |
| (903) 946-5442 | |
| (903) 946-5258 |
| Full Name | East Texas Medical Center Pittsburg |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2701 U.s. Hwy 271 N, Pittsburg, Texas |
| Authorized Official Name and Position | W Perry Henderson (ADMINISTRATOR) |
| Authorized Official Contact | 9038564501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Medical Center Pittsburg Po Box 1304 Pittsburg TX 75686-2203 Ph: (903) 946-5519 | East Texas Medical Center Pittsburg 2701 U.s. Hwy 271 N Pittsburg TX 75686-4289 Ph: (903) 946-5442 |
| NPI Number | 1518015908 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 10/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518015908 | NPI | - | NPPES |
| 138374714 | Medicaid | TX | |
| 138374713 | Medicaid | TX | |
| K95J | Other | TX | BCBS RURAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 438 (Texas) | Primary |
East Texas Medical Center Pittsburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 S Greer Blvd, Pittsburg, TX 75686 Phone: 903-856-7437 Fax: 903-856-3067 | |
Pittsburg Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Quitman St, Pittsburg, TX 75686 Phone: 903-946-5442 | |
Pittsburg Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Us Highway 271 N, Pittsburg, TX 75686 Phone: 903-946-5442 Fax: 903-946-5258 |