Organization
EAST TEXAS MEDICAL CENTER MOUNT VERNON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM P HENDERSON (SENIOR ADMINISTRATOR)
(903) 537-8000
Entity
Organization
Contact information
Practice address
500 SOUTH STATE HIGHWAY 37, MOUNT VERNON, TX 75457-6550
(903) 537-8000
(903) 537-8125
Mailing address
PO BOX 1304, PITTSBURG, TX 75686-2203
(903) 946-5519
(903) 946-5531
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
000282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136140401
—
TX
05
—
136140407
—
TX
01
—
HH0350
BLUE CROSS HOSPITAL
TX
Enumeration date
09/16/2005
Last updated
08/04/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us