| Quitman Hospital Llc | |
|
1220 N Pacific St Mineola TX 75773-1054 | |
| (903) 569-6124 | |
| (903) 569-2467 |
| Full Name | Quitman Hospital Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1220 N Pacific St, Mineola, Texas |
| Authorized Official Name and Position | Stephen C. Petrovich (EVP) |
| Authorized Official Contact | 6152963000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quitman Hospital Llc 340 Seven Springs Way Ste 100 Brentwood TN 37027-5697 Ph: (615) 296-3000 | Quitman Hospital Llc 1220 N Pacific St Mineola TX 75773-1054 Ph: (903) 569-6124 |
| NPI Number | 1205335726 |
|---|---|
| Provider Enumeration Date | 02/10/2018 |
| Last Update Date | 10/01/2023 |
| Medicare PECOS PAC ID | 9133484330 |
|---|---|
| Medicare Enrollment ID | O20180529000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205335726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Etmc First Physicians Clinic Mineola Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 N Pacific St, Mineola, TX 75773 Phone: 903-569-6124 Fax: 903-569-2467 | |
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