NPIMap

Organization Active NPI

Matagorda County Hospital District

Doing business as Matagorda Regional Medical Center

  • Internal Medicine Physician
  • Bay City, TX
National Provider Identifier
1043577992
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
100019 Issued in TX
Legal business name
MATAGORDA COUNTY HOSPITAL DISTRICT
Doing business as
Matagorda Regional Medical Center
Practice address
104 7TH St
Bay City, TX 77414-4853
Phone
(979) 241-5520
Fax
(979) 245-1525
NPI assigned
Apr 17, 2012
Last updated
Apr 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Betty Scurlock
Title
Board Chairperson
Phone
(979) 241-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 100019 TX Primary

Addresses

Primary practice location

104 7TH St
Bay City, TX 77414-4853

Mailing address

104 7TH St
Bay City, TX 77414-4853
Phone (979) 241-5520

Other names 1

  • Matagorda Regional Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jose Garcia Crna5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1043577992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 7TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144853",
            "telephone_number": "979-241-5520",
            "fax_number": "979-245-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 7TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144853",
            "telephone_number": "979-241-5520",
            "fax_number": "979-245-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAGORDA COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "SCURLOCK",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "BOARD CHAIRPERSON",
        "authorized_official_telephone_number": "979-241-5520"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "100019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matagorda Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.