GULF BEND MHMR CENTER NPI 1720057904

NPI Information

  • NPI: 1720057904
  • Provider Name: GULF BEND MHMR CENTER
  • Classification: Case Management - 251B00000X
  • Entity Type: Organization
  • Address: 6502 NURSERY DR
    SUITE100
    VICTORIA, TX
    ZIP 77904
  • Phone: (361) 575-0611

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NPI Details

GULF BEND MHMR CENTER is a case management in Victoria, TX. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. GULF BEND MHMR CENTER NPI is 1720057904. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6502 NURSERY DR
SUITE100
VICTORIA, TX
ZIP 77904-178
Phone: (361) 575-0611
Fax: (361) 575-0626

The provider's authorized official is Donald L Polzin .
The authorized official title is Executive Director and has the following contact phone number (361) 575-0611.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 8/3/2010.

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
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalNo
3171M00000XCase Manager/Care CoordinatorNo
4251S00000XCommunity/Behavioral HealthNo
5251B00000XCase ManagementYes

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
1135254402MEDICAIDTEXAS

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: 3/30/2025

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