Good Shepherd Medical Center

NPI #1558446419 in Longview, Texas

Provider Information

NPI Number
1558446419
Entity Type
Organization
Organization Name
Good Shepherd Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
GOOD SHEPHERD MEDICAL CENTER
Primary Specialty
Ambulance
Enumeration Date
Oct 26, 2006
Last Updated
Feb 8, 2010

Practice Location

Address
700 E MARSHALL AVE
State
Texas
ZIP Code
75601-5580
Phone
(903) 315-2000

Authorized Official

Name
EDWARD BANOS I
Title
CEO
Phone
(903) 315-2000

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport
Secured Medical Transport (VAN)
Non-emergency Medical Transport (VAN)
Ambulance

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