Palacios Medical Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

000574 Issued in TX

Legal business name

PALACIOS MEDICAL CLINIC

Practice address

1519 4TH St
Palacios, TX 77465-3203

Phone

(361) 972-2000

NPI assigned

Feb 11, 2009

Organization subpart

Yes

Parent organization

PALACIOS COMMUNITY MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Kathy O Nichols

Title

Administrator

Phone

(361) 972-2511

Specialties & licenses 1

Addresses

Tax ID family

Palacios Community Med Ctr3 organizations share this tax ID, including this one

Part of

Palacios Community Med Ctr

Other organizations with this tax ID 2

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

• Palacios Community Medical Center

  • Adult Mental Health Clinic/Center
  • El Campo, TX
  • NPI 1205614864
  NPD tax ID
• Palacios Community Medical Center

  • Rural Health Clinic/Center
  • Palacios, TX
  • NPI 1942773874
  NPD tax ID

Locations

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1104065481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 GREEN AVE",
            "city": "PALACIOS",
            "state": "TX",
            "postal_code": "774653213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 4TH ST",
            "city": "PALACIOS",
            "state": "TX",
            "postal_code": "774653203",
            "telephone_number": "361-972-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACIOS MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALACIOS COMMUNITY MEDICAL CENTER",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-972-2511"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "000574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Allan Neese, P.A.
• Palacios Community Medical Center
• Palacios Community Medical Center
• Palacios Healthcare Center
• Palacios Independent School District
• Palacios Pediatric Therapy Clinic, LLC
• Carolyn Ruth Price, OTA
• Raphael J.Emanuel MD PHD
• Ricca J Riojas
• Katherine Ritter, FNP-BC

• Rural Health Clinic/Center in Palacios, TX
• Providers in Palacios, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.