# EAST TEXAS MEDICAL CENTER-GILMER

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

## Provider details

- **NPI number:** 1295719227
- **Authorized official:** MR. TAMBRI L ROLSTON (REGIONAL DIRECTOR OF BUSINESS SER)
- **Authorized official phone:** (903) 946-5500

## Contact information

- **Practice address:** 712 N WOOD ST, GILMER, TX 75644-1751
- **Practice address phone:** (903) 841-7100
- **Practice address fax:** (903) 946-5531
- **Mailing address:** P.O. 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 | 008068 | TX | Yes |

## Other

- **Enumeration date:** 12/02/2005
- **Last updated:** 03/11/2014