East Texas Medical Center Fairfield in Fairfield - Ambulatory Surgical
East Texas Medical Center Fairfield - NPI 1578542098
East Texas Medical Center Fairfield is a Ambulatory Surgical in Fairfield, Texas. East Texas Medical Center Fairfield practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for East Texas Medical Center Fairfield is 1578542098. The last update date is 2010-05-26.
East Texas Medical Center Fairfield's current location address is 125 Newman St, Fairfield, Texas. You can contact this provider via phone number 9033892121. The mailing address for East Texas Medical Center Fairfield is 125 Newman St, Fairfield, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Texas Medical Center Fairfield |
|---|---|
| Address | 125 Newman St, Fairfield, Texas |
| Phone Number | 9033892121 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HOPSITAL A |
|---|---|
| Authorized Official Name | Cook Raz |
| Telephone Number | 9033891616 |
NPI Number Detail
| NPI Number | 1578542098 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2010-05-26 |
Provider Mailing Address Detail
| Address | 125 Newman St |
|---|---|
| City | Fairfield |
| State | Texas (TX) |
| Post Code | 758401419 |
| Phone Number | 9033892121 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 401 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 63474302 | TX | -- | |
| HH0713 | TX | BLUE CROSS BLUE SHIELD | |
| 63474301 | TX | -- | |
| 94190802 | TX | -- | |
| 0098DQ | TX | BLUE CROSS BLUE SHIELD | |
| 94190801 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to East Texas Medical Center Fairfield by the Centers for Medicare & Medicaid Services?
The East Texas Medical Center Fairfield has been issued the NPI (National Provider Identifier) 1578542098 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where East Texas Medical Center Fairfield is located?
The East Texas Medical Center Fairfield is situated at the following address: 125 Newman St, Fairfield, TX, 758401419.
What is East Texas Medical Center Fairfield's specialized field of practice, and what is the corresponding taxonomy classification code?
The East Texas Medical Center Fairfield's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578542098 to East Texas Medical Center Fairfield?
The Centers for Medicare & Medicaid Services assigned the 1578542098 to East Texas Medical Center Fairfield on 2006-01-12.
When was the information related to East Texas Medical Center Fairfield most recently updated or refreshed?
The details pertaining to the East Texas Medical Center Fairfield, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-05-26.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY