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EAST TEXAS MEDICAL CENTER FAIRFIELD

Surgery Yellow Pages

Fairfield, Texas

Provider NPI: 1578542098

Organization Information:
Organization Name:  EAST TEXAS MEDICAL CENTER FAIRFIELD


Practice Location:
125 NEWMAN ST  FAIRFIELD, TX 75840 US
Tel: 903-389-2121  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
TX000401
N261QR1300XAmbulatory Health Care Facilities
Clinic/Center
TX000401
N275N00000XHospital Units
Medicare Defined Swing Bed Unit
TX000401
Y282N00000XHospitals
General Acute Care Hospital
TX000401

Other Provider Identifiers:

IssuerNumberStateType
063474301TX05
BLUE CROSS BLUE SHIELD0098DQTX01
094190802TX05
063474302TX05
094190801TX05
BLUE CROSS BLUE SHIELDHH0713TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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