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GCMC OF WHARTON COUNTY TEXAS LLC NPI 1013910868


NPI Information

NPI: 1013910868
Provider Name: GCMC OF WHARTON COUNTY TEXAS, LLC

Doing Business As: GULF COAST MEDICAL CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 45D0978466

Address:
10141 US 59 RD
WHARTON, TX
ZIP 77488
Phone: (979) 282-6141
Get Directions

GCMC OF WHARTON COUNTY TEXAS, LLC is a general acute care hospital in Wharton, TX. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. GCMC OF WHARTON COUNTY TEXAS, LLC NPI is 1013910868. The provider is registered as an organization entity type.
The provider Is Doing Business As Gulf Coast Medical Center.

The provider's business location address is:

10141 US 59 RD
WHARTON, TX
ZIP 77488-224
Phone: (979) 282-6141
Fax: (979) 282-6036

The provider's authorized official is Kevin D Crandall .
The authorized official title is Cio and has the following contact phone number (480) 650-7534.

The CLIA number assigned to this NPI record is 45D0978466 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/24/2005 and was last updated on 10/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical008330TEXASNo
2282N00000XGeneral Acute Care Hospital100142TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HH0522OTHERTEXASBLUE CROSS ACUTE
2178848101MEDICAIDTEXAS
3178815003MEDICAIDTEXAS
4178815002MEDICAIDTEXAS
5HH2802OTHERTEXASBLUE CROSS SNF
6621321359774880000OTHERTEXASCHAMPUS PROVIDER #
71363335 04MEDICAIDTEXAS
8450214MEDICARE OSCAR/CERTIFICATIONTEXAS
9455894MEDICARE OSCAR/CERTIFICATIONTEXAS
1045D0495923OTHERTEXASCLIA # FOR LABORATORY
1116213213594002OTHERTEXASTEXAS REHAB VENDOR #
12TAX IDOTHERTEXAS203745677
131363335 06MEDICAIDTEXAS
14014503OTHERTEXASTDH BUREAU OF KIDNEY HLTH
15178815001MEDICAIDTEXAS
1645D0679101OTHERTEXASCLIA # CARDIO BLOOD GAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.