DEWITT MEDICAL DISTRICT NPI 1831567122

NPI Information

NPI: 1831567122
Provider Name: DEWITT MEDICAL DISTRICT

Doing Business As: GOLIAD FAMILY PRACTICE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
139 W FRANKLIN ST
GOLIAD, TX
ZIP 77963
Phone: (361) 645-8235
Get Directions

DEWITT MEDICAL DISTRICT is a rural health clinic center in Goliad, TX. DEWITT MEDICAL DISTRICT NPI is 1831567122. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Goliad Family Practice.

The provider's business location address is:

139 W FRANKLIN ST
GOLIAD, TX
ZIP 77963-281
Phone: (361) 645-8235
Fax: (361) 645-3282

The provider's authorized official is Alma Alexander .
The authorized official title is Cfo and has the following contact phone number (361) 275-6191.

The CLIA number assigned to this NPI record is 45D0498869 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2015 and was last updated on 8/18/2022.

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	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health			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	357774401	MEDICAID	TEXAS
2	363141801	OTHER	TEXAS	MEDICAID RHC
3	363141802	OTHER	TEXAS	THSTEPS RHC MEDICAID

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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