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Crockett Medical Center, LLC

Family Medicine Physician in Crockett, TX · enumerated 2018 · authorized official Kelly Tjelmeland, Ceo.

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

National Provider Identifier

1487155990

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Registry record

Entity type Organization (Type 2)
Legal business name Crockett Medical Center, LLC
Other name <Unavail>
Practice address 1050 E Loop 304, Crockett, TX, 75835
Phone (936) 546-3890
Enumeration date Feb 21, 2018
Last updated in NPPES Aug 28, 2018

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Kelly Tjelmeland
Title Ceo
Phone (512) 617-7500

Other identifiers

Identifier Type State Issuer
385139603 Medicaid TX -
385139602 Medicaid TX -
385139601 Medicaid TX -

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 is the NPI number for Crockett Medical Center, LLC?
The NPI for Crockett Medical Center, LLC is 1487155990, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Crockett Medical Center, LLC?
NPPES lists Kelly Tjelmeland (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-08-28.