El Campo Memorial Hospital
Organization Active NPI Family Medicine Physician · Bellville, TX
NPI 1699487264 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1699487264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- EL CAMPO MEMORIAL HOSPITAL
- Practice address
- 235 W Palm St
Bellville, TX 77418-1372 - Phone
- (979) 413-7306
- NPI assigned
- Dec 15, 2022
- Organization subpart
- No
Authorized official
- Name
- Anita M Crisp
- Title
- VP Physician Services
- Phone
- (979) 543-5510
Other NPIs on the same Medicare enrollment 23
Corporate family (same tax ID) 26
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140813001385 | TX | Part B Supplier - Clinic/Group Practice | 6406021765 |
Receives reassigned benefits from 38 practitioners 23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wharton, TX; Palacios, TX; Mason, TX; Louise, TX; Ganado, TX; El Campo, TX; Boling, TX; Blessing, TX… |
National Provider Directory
- Tax ID family
- El Campo Memorial Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
235 W Palm St
Bellville, TX 77418-1372
Mailing address
305 Sandy Corner Rd
El Campo, TX 77437-9535
Other names
- Mid Coast Medical Clinic - Bellville
Other providers in Bellville, TX
- Gerald Wayne Curlee
- D&S Residential Services, LP
- Katie Derrick
- Don R Bosse MD PA
- Kelly Christine Dunn
- Fastclinics LLC
- David Gajewski
- Charles Gay
- Guadalupe County Hospital Board
- Allison L Hebert
All providers in Bellville, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.