ST. JOSEPH REGIONAL HEALTH CENTER NPI 1487099248

NPI Information

NPI: 1487099248
Provider Name: ST. JOSEPH REGIONAL HEALTH CENTER

Doing Business As: ST. JOSEPH FAMILY MEDICINE HOLLEMAN

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1512 HOLLEMAN DR
COLLEGE STATION, TX
ZIP 77840
Phone: (979) 764-6885
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ST. JOSEPH REGIONAL HEALTH CENTER is a primary care clinic center in College Station, TX. ST. JOSEPH REGIONAL HEALTH CENTER NPI is 1487099248. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Joseph Family Medicine Holleman.

The provider's business location address is:

1512 HOLLEMAN DR
COLLEGE STATION, TX
ZIP 77840-297
Phone: (979) 764-6885

The provider's authorized official is Sam Fulton .
The authorized official title is Director Revenue Cycle and has the following contact phone number (979) 774-2079.

The enumeration date for this NPI number is 5/7/2013 and was last updated on 5/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	081951801	MEDICAID	TEXAS
2	450011	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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