NPIMap

Organization Active NPI

W. Wharton County Hospital District D B a Mid Coast Medical Clinic Pal

  • Clinic/Center
  • Palacios, TX
National Provider Identifier
1184707473
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
W. WHARTON COUNTY HOSPITAL DISTRICT D B A MID COAST MEDICAL CLINIC PAL
Practice address
310 Henderson St
Palacios, TX 77465-3950
Phone
(361) 972-3664
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Anita Crisp
Title
Clinic Manager
Phone
(979) 543-5510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

310 Henderson St
Palacios, TX 77465-3950

Mailing address

310 Henderson St
Palacios, TX 77465-3950

National Provider Directory

National Provider Directory
Tax ID family
West Wharton County Hospital District104 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184707473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HENDERSON ST",
            "city": "PALACIOS",
            "state": "TX",
            "postal_code": "774653950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HENDERSON ST",
            "city": "PALACIOS",
            "state": "TX",
            "postal_code": "774653950",
            "telephone_number": "361-972-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. WHARTON COUNTY HOSPITAL DISTRICT D B A MID COAST MEDICAL CLINIC PAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "979-543-5510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palacios, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.