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East Texas Medical Center Jacksonville

General Acute Care Hospital in Jacksonville, TX · enumerated 2006 · authorized official Jack Endres, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285689133

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Registry record

Entity type Organization (Type 2)
Legal business name East Texas Medical Center Jacksonville
Practice address 501 S Ragsdale St, Jacksonville, TX, 75766
Fax (903) 541-5067
Enumeration date May 22, 2006
Last updated in NPPES Dec 2, 2010

Taxonomy & classification

282N00000X General Acute Care Hospital Hospitals · License 000416 (TX) Primary

Authorized official

Name Jack Endres
Title Administrator

Other identifiers

Identifier Type State Issuer
130612801 Medicaid TX -
00J11A Other TX BCBS PROVIDER NUMBER
1972827822 Other TX DBA ETMC FIRST PHYSICIANS CLINIC RUSK
HH0170 Other TX BCBS PROVIDER NUMBER
130612806 Medicaid TX -
130612804 Medicaid TX -
201848301 Medicaid TX -
1023342755 Other TX DBA ETMC FIRST PHYSICIANS CLINIC FRANKSTON

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is East Texas Medical Center Jacksonville?
East Texas Medical Center Jacksonville is registered in NPPES as a General Acute Care Hospital (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-02.