Gonzales Healthcare Systems

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

000103 Issued in TX

Legal business name

GONZALES HEALTHCARE SYSTEMS

Doing business as

Memorial Hospital - Swing Bed

Practice address

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311

Phone

(830) 672-7581

Fax

(830) 672-2401

NPI assigned

Aug 24, 2005

Reactivated

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Anzaldua

Title

Ceo/Administrator

Phone

(830) 672-7581

Specialties & licenses 1

Addresses

Other names 1

• Memorial Hospital - Swing Bed Doing business as

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1881687994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786290587",
            "telephone_number": "830-672-7581",
            "fax_number": "830-672-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N SARAH DEWITT DR",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786293311",
            "telephone_number": "830-672-7581",
            "fax_number": "830-672-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALES HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "deactivation_date": "2020-01-23",
        "reactivation_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "ANZALDUA",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "830-672-7581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "000103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital - Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gonzales Healthcare Systems
• Gonzales Healthcare Systems
• Gonzales Healthcare Systems
• Gonzales Healthcare Systems
• Gonzales Healthcare Systems
• Gonzales Healthcare Systems
• Gonzales Healthcare Systems
• Gonzales Healthcare Systems
• Gonzales Healthcare Systems - ER Medicine
• Gonzales Healthcare Systems - ER Physician Group

• Medicare Defined Swing Bed Hospital Unit in Gonzales, TX
• Providers in Gonzales, TX by specialty
• Medicare Defined Swing Bed Hospital Unit in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.