| Good Shepherd Medical Center - Linden Inc | |
|
404 N Kaufman St Linden TX 75563-5234 | |
| (903) 756-5561 | |
| (903) 756-3718 |
| Full Name | Good Shepherd Medical Center - Linden Inc |
|---|---|
| Speciality | General Acute Care Hospital - Critical Access |
| Location | 404 N Kaufman St, Linden, Texas |
| Authorized Official Name and Position | Edward Banos (CEO) |
| Authorized Official Contact | 9033152000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Medical Center - Linden Inc 404 N Kaufman St Linden TX 75563-5234 Ph: (903) 756-5561 | Good Shepherd Medical Center - Linden Inc 404 N Kaufman St Linden TX 75563-5234 Ph: (903) 756-5561 |
| NPI Number | 1780649509 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 02/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780649509 | NPI | - | NPPES |
| 183315401 | Medicaid | TX | |
| 0004NP | Other | TX | BLUE CROSS/PROFESSIONAL PROVIDER # |
| HH0386 | Other | TX | BLUE CROSS PROV# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 008221 (Texas) | Primary |
Good Shepherd Glenn-garrett Clinic - Linden Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 N Kaufman, Linden, TX 75563 Phone: 903-756-5581 Fax: 903-756-5005 |