Organization
EAST TEXAS MEDICAL CENTER PITTSBURG
Active
Other names
ETMC First Physicians Clinic Mount Vernon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM P HENDERSON (SENIOR ADMINISTRATOR)
(903) 537-8000
Entity
Organization
Contact information
Practice address
506 SOUTH STATE HWY 37, MT VERNON, TX 75457-0477
(903) 537-8222
Mailing address
PO BOX 1304, PITTSBURG, TX 75686-2203
(903) 537-8222
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
F4587
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L04L
BLUE CROSS ETMC RHC
TX
05
—
136140406
—
TX
05
—
136140408
—
TX
05
—
136140410
—
TX
Enumeration date
08/31/2006
Last updated
02/23/2015
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