Provider Demographics
NPI:1699134882
Name:HUNT REGIONAL MEDICAL PARTNERS
Entity type:Organization
Organization Name:HUNT REGIONAL MEDICAL PARTNERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BOLES
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:903-408-5000
Mailing Address - Street 1:501 AIR PARK AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-3000
Mailing Address - Country:US
Mailing Address - Phone:903-408-1100
Mailing Address - Fax:903-408-1129
Practice Address - Street 1:1080 E LENNON DR STE 3
Practice Address - Street 2:
Practice Address - City:EMORY
Practice Address - State:TX
Practice Address - Zip Code:75440-5253
Practice Address - Country:US
Practice Address - Phone:903-473-2060
Practice Address - Fax:903-473-2686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-16
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX673930261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673930OtherCMS CERTIFICATION NUMBER