| Organization Name: | EAST TEXAS MEDICAL CENTER QUITMAN |
| NPI Number: | 1508871245 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM P HENDERSON (VP AFFILIATE OPERATIONS) |
| Mailing Address: | 117 N Winnsboro St Quitman |
| State: | TX US |
| Postal Code: | 757832144 |
| Phone Number: | 9037636220 |
| Fax Number: | 9039465531 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |