Provider Demographics
NPI:1679578439
Name:MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
Entity type:Organization
Organization Name:MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEUER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-606-4051
Mailing Address - Street 1:800 E DAWSON ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-2036
Mailing Address - Country:US
Mailing Address - Phone:903-593-8441
Mailing Address - Fax:903-606-1201
Practice Address - Street 1:800 E DAWSON ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-2036
Practice Address - Country:US
Practice Address - Phone:903-593-8441
Practice Address - Fax:903-531-5097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA1903X
TX000286282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117394002Medicaid
TX000664501Medicaid
TX083768401Medicaid
TX094108004Medicaid
TX094108002Medicaid
TX018145501Medicaid
TX018172901Medicaid
TX080362902Medicaid
TX081946801Medicaid
TX090047401Medicaid
TX094108005Medicaid
TX101388001Medicaid
TX094108001Medicaid
TX080719001Medicaid
TX063312501Medicaid
TX090071401Medicaid
TX140188701Medicaid
TX080362902Medicaid
TX081946801Medicaid
TX090047401Medicaid
TX140188701Medicaid
TX101388001Medicaid