Organization
EAST TEXAS MEDICAL CENTER-GILMER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAMBRI L ROLSTON (REGIONAL DIRECTOR OF BUSINESS SER)
(903) 946-5500
Entity
Organization
Contact information
Practice address
712 N WOOD ST, GILMER, TX 75644-1751
(903) 841-7100
(903) 946-5531
Mailing address
P.O. 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
008068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069NE
RHC GROUP BCBS
TX
01
—
00C13V
PHYSICIAN BCBS
TX
05
—
168447401
—
TX
05
—
168447402
—
TX
05
—
168447403
—
TX
01
—
HH1051
BLUE CROSS
TX
Enumeration date
12/02/2005
Last updated
03/11/2014
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