NPIMap

Organization Active NPI

Utmb Regional Maternal and Child Health Program

  • Ambulatory Family Planning Facility
  • Angleton, TX
National Provider Identifier
1144526591
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
UTMB REGIONAL MATERNAL AND CHILD HEALTH PROGRAM
Practice address
1108 A. East Mulberry
Angleton, TX 77515-3955
Phone
(979) 849-0692
Fax
(979) 849-1094
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Liz Castillo
Title
Director, Clinical Support Services
Phone
(409) 772-7725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X Primary

Addresses

Primary practice location

1108 A. East Mulberry
Angleton, TX 77515-3955

Mailing address

301 University Blvd
Route - 1078
Galveston, TX 77555-1078
Phone (409) 772-7725

Other identifiers 1

IdentifierTypeStateIssuer
138740924MedicaidTX

Other names 1

  • UTMB RMCHP - Angleton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Utmb Regional Maternal and Child Health Program43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

1108 E Mulberry St
Ste A
Angleton, TX 77515
Phone (979) 849-0692

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1144526591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "ROUTE - 1078",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551078",
            "telephone_number": "409-772-7725",
            "fax_number": "409-772-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 A. EAST MULBERRY",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153955",
            "telephone_number": "979-849-0692",
            "fax_number": "979-849-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTMB REGIONAL MATERNAL AND CHILD HEALTH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL SUPPORT SERVICES",
        "authorized_official_telephone_number": "409-772-7725"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138740924",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTMB RMCHP - Angleton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Angleton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.