# EAST TEXAS MEDICAL CENTER MOUNT VERNON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205821113
- **Authorized official:** MR. WILLIAM P HENDERSON (SENIOR ADMINISTRATOR)
- **Authorized official phone:** (903) 537-8000

## Contact information

- **Practice address:** 500 SOUTH STATE HIGHWAY 37, MOUNT VERNON, TX 75457-6550
- **Practice address phone:** (903) 537-8000
- **Practice address fax:** (903) 537-8125
- **Mailing address:** PO BOX 1304, PITTSBURG, TX 75686-2203
- **Mailing address phone:** (903) 946-5519
- **Mailing address fax:** (903) 946-5531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 000282 | TX | Yes |

## Other

- **Enumeration date:** 09/16/2005
- **Last updated:** 08/04/2010