NPIMap

Organization Active NPI

St Elizabeth Family Care

  • Health Service Clinic/Center
  • Dickinson, TX
National Provider Identifier
1104245729
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ST ELIZABETH FAMILY CARE
Practice address
676 FM 517 Rd W
Dickinson, TX 77539-3904
Phone
(409) 572-4535
Fax
(281) 218-7203
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Harold Fattig
Title
President
Phone
(281) 218-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

676 FM 517 Rd W
Dickinson, TX 77539-3904

Mailing address

676 FM 517 Rd W
Dickinson, TX 77539-3904
Phone (281) 218-7200

Other names 1

  • WELLNOW FLU SHOTS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1104245729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 FM 517 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393904",
            "telephone_number": "281-218-7200",
            "fax_number": "281-218-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 FM 517 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393904",
            "telephone_number": "409-572-4535",
            "fax_number": "281-218-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETH FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "FATTIG",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-218-7200"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNOW FLU SHOTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.