Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
IRON MOUNTAIN MEDICAL CENTER LLC
Active
Organization
IRON MOUNTAIN MEDICAL CENTER LLC
Active
Other names
RHPA dba Iron Mountain Medical Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA RAYE HORNE RN (OWNER)
(936) 348-9141
Entity
Organization
Contact information
Practice address
106 N GRACE ST, CROCKETT, TX 75835-1722
(936) 544-7202
(936) 546-2029
Mailing address
106 N GRACE ST, CROCKETT, TX 75835-1722
(936) 348-9141
(936) 348-9143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037RB
BCBS
TX
01
—
0051BV
BCBS
TX
05
—
092386401
—
TX
05
—
092386403
—
TX
01
—
138350710
PCP
TX
Enumeration date
06/02/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up