Bellville Hospital District

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BELLVILLE HOSPITAL DISTRICT

Doing business as

Medical Clinic of Bellville

Practice address

235 W Palm St
Suite 108
Bellville, TX 77418-1300

Phone

(979) 865-3141

Fax

(979) 865-9161

NPI assigned

Dec 15, 2006

Last updated

Nov 18, 2010By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 4

Other names 1

• Medical Clinic of Bellville Doing business as

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1962564617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 N CUMMINGS ST",
            "address_2": "PO BOX 977",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181347",
            "telephone_number": "979-865-3141",
            "fax_number": "979-865-9161"
        },
        {
            "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": "774181300",
            "telephone_number": "979-865-3141",
            "fax_number": "979-865-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLVILLE HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-11-18",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085587602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00U21U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085587603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855876-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Clinic of Bellville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teena Banga
• Diana Irene Bates, LPC
• Bellville General Hospital (Medical Clinic of Bellville)
• Bellville General Hospital District (Bellville General Hospital Clinic)
• Bellville Hospital District (Bellville General Hospital)
• Bellville Medical Center
• Bellville Medical Center (Mid Coast Medical Center-Bellville)
• Bellville Medical Center (Mid Coast Medical Clinic Bellville)
• Bellville Medical Center (Bellville Internal and Family Medicine Clinic)
• Don R Bosse, M.D.

• Rural Health Clinic/Center in Bellville, TX
• Providers in Bellville, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.