Organization
PITTSBURG HOSPITAL, LLC
Active
Parent organization
AHS EAST TEXAS HEALTH SYSTEM, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHS EAST TEXAS HEALTH SYSTEM, LLC
Authorized official
STEPHEN C. PETROVICH (EVP, GENERAL COUNSEL)
(615) 296-3000
Entity
Organization
Contact information
Practice address
301 W 19TH ST, MOUNT PLEASANT, TX 75455-2322
(903) 577-1101
Mailing address
1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
(615) 296-3594
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
04/29/2019
Last updated
05/09/2019
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