GEORGETOWN MEDICAL CENTER P A NPI 1376610469

NPI Information

NPI: 1376610469
Provider Name: GEORGETOWN MEDICAL CENTER P A

Doing Business As: GEORGETOWN MEDICAL CLINIC

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

Specialization: Rural Health

Address:
3201 S AUSTIN AVE STE 210
GEORGETOWN, TX
ZIP 78626
Phone: (512) 930-4593
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GEORGETOWN MEDICAL CENTER P A is a rural health clinic center in Georgetown, TX. GEORGETOWN MEDICAL CENTER P A NPI is 1376610469. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Georgetown Medical Clinic.

The provider's business location address is:

3201 S AUSTIN AVE STE 210
GEORGETOWN, TX
ZIP 78626-537
Phone: (512) 930-4593

The provider's authorized official is John Guzzino .
The authorized official title is Administrator and has the following contact phone number (512) 930-4593.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 1/11/2010.

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
1	453965	MEDICARE OSCAR/CERTIFICATION	TEXAS
2	127132201	MEDICAID	TEXAS
3	127132203	MEDICAID	TEXAS
4	127132202	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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