Organization
EAST TEXAS MEDICAL CENTER
Active
Other names
ETMC Crockett Family Medical Center RHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY CUTLER (ADMINISTRATOR)
(936) 546-3862
Entity
Organization
Contact information
Practice address
1100 E LOOP 304, SUITE 200, CROCKETT, TX 75835-1810
(936) 544-5132
(936) 544-3792
Mailing address
PO BOX 1304, PITTSBURG, TX 75686-2203
(936) 544-5132
(936) 544-3792
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095181602
—
TX
Enumeration date
11/10/2005
Last updated
02/24/2015
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