Signature Gulf Coast Hospital LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

008330 Issued in TX

Legal business name

SIGNATURE GULF COAST HOSPITAL LP

Doing business as

Gulf Coast Medical Center

Practice address

10141 US 59 Rd
Wharton, TX 77488-7224

Phone

(979) 282-6141

Fax

(979) 282-6036

NPI assigned

Jun 14, 2006

Last updated

Aug 4, 2008By 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

Mrs. Nancy S Montello

Title

Director of Business Services

Phone

(979) 282-6141

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gulf Coast Medical Center Doing business as

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1275576431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848487",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848487",
            "telephone_number": "979-282-6141",
            "fax_number": "979-282-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 US 59 RD",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774887224",
            "telephone_number": "979-282-6141",
            "fax_number": "979-282-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE GULF COAST HOSPITAL LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "MONTELLO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "979-282-6141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "008330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178815003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Maynard Sears, MD
• Select Physical Therapy Holdings Inc
• Pooja Sharma
• Shannon Sharpe, LPC
• Jalayah Shelton
• Signature Gulf Coast Medical Center
• Stacey Silvas
• Simply RX LLC
• Skyline Healthcare Services, Inc.
• SMG Signature Medical Group (Gulf Coast Medical Associates)

• Skilled Nursing Facility in Wharton, TX
• Providers in Wharton, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.