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EL CAMPO MEMORIAL HOSPITAL NPI 1942773874


NPI Information

NPI: 1942773874
Provider Name: EL CAMPO MEMORIAL HOSPITAL

Doing Business As: MID COAST MEDICAL CLINIC-PALACIOS

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 45D1097368

Address:
307 GREEN AVE
PALACIOS, TX
ZIP 77465
Phone: (361) 972-2000
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EL CAMPO MEMORIAL HOSPITAL is a rural health clinic center in Palacios, TX. EL CAMPO MEMORIAL HOSPITAL NPI is 1942773874. The provider is registered as an organization entity type.
The provider Is Doing Business As Mid Coast Medical Clinic-palacios.

The provider's business location address is:

307 GREEN AVE
PALACIOS, TX
ZIP 77465-213
Phone: (361) 972-2000
Fax: (361) 972-2009

The provider's authorized official is Anita M Crisp .
The authorized official title is Clinic Director and has the following contact phone number (979) 543-5510.

The CLIA number assigned to this NPI record is 45D1097368 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2019 and was last updated on 2/3/2022.


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
1261Q00000XClinic/CenterNo
2261QR1300XClinic/CenterRural HealthYes

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

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