NPIMap

El Campo Memorial Hospital

Organization Active NPI Rural Health Clinic/Center · Fredericksburg, TX

NPI 1629656178 · NPPES record last updated Mar 29, 2021

Key facts

NPI
1629656178
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
EL CAMPO MEMORIAL HOSPITAL
Practice address
805 W Main St
Fredericksburg, TX 78624-3172
Phone
(979) 543-5510
NPI assigned
Mar 29, 2021
Organization subpart
No

Authorized official

Name
Anita Crisp
Title
Vice President Physician Services
Phone
(979) 543-5510

Corporate family (same tax ID) 26

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

View all 26

National Provider Directory

Tax ID family
El Campo Memorial Hospital (27 organizations share this tax ID)

Locations

805 W Main St
Fredericksburg, TX 78624

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

805 W Main St
Fredericksburg, TX 78624-3172

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 29, 2021.

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1629656178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 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": "805 W MAIN ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243172",
            "telephone_number": "979-543-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMPO MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "VICE PRESIDENT PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "979-543-5510"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

All providers in Fredericksburg, TX · Rural Health Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.