MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM NPI 1598024788

NPI Information

NPI: 1598024788
Provider Name: MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM

Doing Business As: MEHOP PHYSICIAN GROUP

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1700 GOLDEN AVE
BAY CITY, TX
ZIP 77414
Phone: (979) 245-2008
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MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM is a federally qualified health center (fqhc) clinic center in Bay City, TX. MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM NPI is 1598024788. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mehop Physician Group.

The provider's business location address is:

1700 GOLDEN AVE
BAY CITY, TX
ZIP 77414-122
Phone: (979) 245-2008
Fax: (979) 245-0744

The provider's authorized official is Manuela Luna .
The authorized official title is Billing/credentialing Manager and has the following contact phone number (979) 245-2008.

The enumeration date for this NPI number is 5/9/2012 and was last updated on 4/28/2023.

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	207R00000X	Internal Medicine				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	00642Y	OTHER	TEXAS	MEDICARE
2	173656301	MEDICAID	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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