OrganizationActive
Dickerson Memorial Hospital, LLC
NPI 1003939232 · Rural Acute Care Hospital · Jasper, TX
Provider details
- NPI number
- 1003939232
- Entity type
- Organization
- Primary specialty
- Rural Acute Care HospitalHospitals
- Authorized official
- John Tatum, Administrator
- License
- 007235 (TX)
Practice location
1001 Dickerson Dr
Jasper, TX 75951-5110
Phone: (409) 383-2345
Fax: (281) 447-6802
Mailing address
260 N Sam Houston Pkwy E
Houston, TX 77060-2018
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.