Palacios Community Medical Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PALACIOS COMMUNITY MEDICAL CENTER

Doing business as

Mid Coast Behavioral Center

Practice address

25000 US Hwy 59
Unit B
El Campo, TX 77437

Phone

(361) 972-2511

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David H Mak

Title

Chief Financial Officer

Phone

(713) 569-7370

Specialties & licenses 2

Addresses

Other names 1

• MID COAST BEHAVIORAL CENTER Doing business as

Tax ID family

Palacios Community Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Palacios Community Medical Center

  dba Mid Coast Medical Clinic-Palacios

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

  • Rural Health Clinic/Center
  • Palacios, TX
  • NPI 1104065481
  NPD tax ID

Locations

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1205614864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 US HWY 59",
            "address_2": "UNIT B",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774375478",
            "telephone_number": "361-972-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 US HWY 59",
            "address_2": "UNIT B",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "77437",
            "telephone_number": "361-972-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACIOS COMMUNITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "713-569-7370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID COAST BEHAVIORAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in El Campo, TX
• Providers in El Campo, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.