# EAST TEXAS MEDICAL CENTER FAIRFIELD

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

## Provider details

- **NPI number:** 1578542098
- **Authorized official:** MS. RAZ COOK (HOPSITAL ADMINISTRATOR)
- **Authorized official phone:** (903) 389-1616

## Contact information

- **Practice address:** 125 NEWMAN ST, FAIRFIELD, TX 75840-1419
- **Practice address phone:** (903) 389-2121
- **Mailing address:** PO BOX 1939, ATHENS, TX 75751-1939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 000401 | TX | — |
| 261QR1300X | Rural Health Clinic/Center | 000401 | TX | — |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 000401 | TX | — |
| 282N00000X | General Acute Care Hospital | 000401 | TX | Yes |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 05/26/2010