East Texas Medical Center Jacksonville
NPI 1821366170 · Rural Health Clinic/Center · Jacksonville, TX
East Texas Medical Center Jacksonville is a Rural Health Clinic/Center organization in Jacksonville, TX (NPI 1821366170).
Provider details
- NPI number
- 1821366170
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Endres, Administrator(903) 541-5100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Etmc First Physicians Clinic Jacksonville
Registry dates
- Enumerated
- 2011-12-01
- Last updated
- 2012-11-08
Frequently asked questions
- What is East Texas Medical Center Jacksonville's NPI number?
- East Texas Medical Center Jacksonville's National Provider Identifier (NPI) is 1821366170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Texas Medical Center Jacksonville?
- East Texas Medical Center Jacksonville is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is East Texas Medical Center Jacksonville located?
- East Texas Medical Center Jacksonville's practice location on file with NPPES is 203 Nacogdoches St, Jacksonville, TX 75766-2444.
- What is East Texas Medical Center Jacksonville's phone number?
- The practice phone number listed in the NPPES registry for East Texas Medical Center Jacksonville is (903) 541-5396.
- Who is the authorized official for East Texas Medical Center Jacksonville?
- The authorized official listed on East Texas Medical Center Jacksonville's NPPES record is Jack Endres, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Texas Medical Center Jacksonville's NPI active?
- Yes — East Texas Medical Center Jacksonville's NPI (1821366170) is active in the NPPES registry as of the last update on 2012-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.