Organization Active NPI

Bellville General Hospital

Doing business as Medical Clinic of Bellville

  • Rural Health Clinic/Center
  • Bellville, TX
National Provider Identifier
1679877641
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BELLVILLE GENERAL HOSPITAL
Doing business as
Medical Clinic of Bellville
Practice address
235 W Palm St
Suite 108
Bellville, TX 77418-1372
Phone
(979) 865-3141
Fax
(979) 865-9334
NPI assigned
Jan 5, 2011
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Mr. Michael Morris
Title
Ceo
Phone
(979) 865-3141

Specialties & licenses 1

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

Addresses

Primary practice location

235 W Palm St
Suite 108
Bellville, TX 77418-1372

Mailing address

235 W Palm St
Suite 108
Bellville, TX 77418-1372
Phone (979) 865-0100

Other identifiers 3

IdentifierTypeStateIssuer
085587601MedicaidTX
085587602MedicaidTX
085587603MedicaidTX

Other names 1

  • Medical Clinic of Bellville Doing business as

National Provider Directory

National Provider Directory

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": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1679877641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W PALM ST",
            "address_2": "SUITE 108",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181372",
            "telephone_number": "979-865-0100",
            "fax_number": "979-865-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W PALM ST",
            "address_2": "SUITE 108",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181372",
            "telephone_number": "979-865-3141",
            "fax_number": "979-865-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLVILLE GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-865-3141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085587601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085587602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085587603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Clinic of Bellville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.