NPIMap

Organization Active NPI

Mid Coast Health System

Doing business as Bay City Imaging

  • Radiology Clinic/Center
  • Bay City, TX
National Provider Identifier
1477134476
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MID COAST HEALTH SYSTEM
Doing business as
Bay City Imaging
Practice address
720 Avenue F N Ste 2
Bay City, TX 77414-9574
Phone
(979) 543-5510
NPI assigned
Apr 20, 2021
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Mr. David Mak
Title
Cfo
Phone
(795) 436-2519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

720 Avenue F N Ste 2
Bay City, TX 77414-9574

Mailing address

303 Sandy Corner Rd
El Campo, TX 77437-9535
Phone (979) 543-5510

Other names 1

  • BAY CITY IMAGING Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210506000385 TX Part B Supplier - Clinic/Group Practice 8224442025 Receives reassigned benefits from 46 practitioners
1 other NPI on this enrollment
Practice locations: Bay City, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mid Coast Health System3 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.

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mid Coast Medical Center-BellvilleBellville, TX, CCN 450253 Hospital Operational/Managerial Control Jan 1, 2024
Crockett Medical CenterCrockett, TX, CCN 45Z393 Hospital Operational/Managerial Control Jan 1, 2024
Crockett Medical CenterCrockett, TX, CCN 451393 Hospital Operational/Managerial Control Jan 1, 2024
Llano Regional HospitalLlano, TX, CCN 45Z396 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 2021
Jan 1, 2021
Mid Coast Medical Center - TrinityTrinity, TX, CCN 670331 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Feb 10, 2020
Feb 10, 2020
Crockett Medical Center ClinicCrockett, TX, CCN 673467 Rural health clinic Operational/Managerial Control Jan 1, 2023
Mid Coast Medical Clinic-PalaciosPalacios, TX, CCN 458820 Rural health clinic Operational/Managerial Control Jan 1, 2025
Mid Coast Well CareBellville, TX, CCN 673494 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 1, 2025
May 1, 2025

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1477134476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SANDY CORNER RD",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774379535",
            "telephone_number": "979-543-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 AVENUE F N STE 2",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774149574",
            "telephone_number": "979-543-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID COAST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "795-436-2519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY CITY IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, TX

Sources for this page

Verify at the official NPI Registry.