DISCOVERY MEDICAL NETWORK MATAGORDA LLC NPI 1225676604

NPI Information

NPI: 1225676604
Provider Name: DISCOVERY MEDICAL NETWORK MATAGORDA, LLC

Doing Business As: MATAGORDA MEDICAL GROUP

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

Specialization: Rural Health

Address:
600 HOSPITAL CIR
BAY CITY, TX
ZIP 77414
Phone: (979) 245-0001
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DISCOVERY MEDICAL NETWORK MATAGORDA, LLC is a rural health clinic center in Bay City, TX. DISCOVERY MEDICAL NETWORK MATAGORDA, LLC NPI is 1225676604. The provider is registered as an organization entity type.
The provider Is Doing Business As Matagorda Medical Group.

The provider's business location address is:

600 HOSPITAL CIR
BAY CITY, TX
ZIP 77414-771
Phone: (979) 245-0001
Fax: (979) 244-8103

The provider's authorized official is Michael Yost .
The authorized official title is Vice President and has the following contact phone number (806) 776-0602.

The CLIA number assigned to this NPI record is 45D2162918 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2019 and was last updated on 12/13/2023.

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	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	310938103	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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