P Praxis·MD
● Active Type 2 · Organization

Dickerson Memorial Hospital, Llc

General Acute Care Hospital·Jasper, TX· NPI 1003939232 · Enumerated 2007 · 19 years on NPI
Dickerson Memorial Hospital, Llc is 1 of 67 general acute care hospital organizations in Texas.
NPI age
19 years
Enumerated 2007-04-10
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tatum
Administrator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 67 active general acute care hospital providers in Texas.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1001 Dickerson Dr
Jasper, TX 759515110
📞 4093832345fax 2814476802
Mailing address
260 N Sam Houston Pkwy E, Suite 220
Houston, TX 770602018
📞 2814476800fax 2814476802

Authorized official

John Tatum
Administrator
📞 2814476800

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • General Acute Care Hospital Primary
    Definition to come...
    TX license #007235 taxonomy 282NR1301X

Identifiers

TypeValueNotes
01 (TX) HH0400 BCBS PROVIDER ID

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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