| Brim Healthcare Of Texas Llc | |
|
1000 Pine St Texarkana TX 75501-5100 | |
| (903) 798-8000 | |
| (903) 798-7725 |
| Full Name | Brim Healthcare Of Texas Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1000 Pine St, Texarkana, Texas |
| Authorized Official Name and Position | Thomas D. Gilbert (HOSPITAL CEO) |
| Authorized Official Contact | 9037988001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brim Healthcare Of Texas Llc 1000 Pine St Attn: Billing Texarkana TX 75501-5100 Ph: (903) 798-8000 | Brim Healthcare Of Texas Llc 1000 Pine St Texarkana TX 75501-5100 Ph: (903) 798-8000 |
| NPI Number | 1295839991 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 04/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295839991 | NPI | - | NPPES |
| 2073116-04 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 45S200 (Texas) | Primary |
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