ST. JOSEPH REGIONAL HEALTH CENTER NPI 1467510271

NPI Information

NPI: 1467510271
Provider Name: ST. JOSEPH REGIONAL HEALTH CENTER

Doing Business As: ST. JOSEPH SOMERVILLE FAMILY MEDICINE CLINIC

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

Specialization: Rural Health

Address:
600 MEMORY LANE
SOMERVILLE, TX
ZIP 77879
Phone: (979) 776-2426
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ST. JOSEPH REGIONAL HEALTH CENTER is a rural health clinic center in Somerville, TX. ST. JOSEPH REGIONAL HEALTH CENTER NPI is 1467510271. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Joseph Somerville Family Medicine Clinic.

The provider's business location address is:

600 MEMORY LANE
SOMERVILLE, TX
ZIP 77879-995
Phone: (979) 776-2426
Fax: (979) 776-5948

The provider's authorized official is Rena White .
The authorized official title is Patient Financial Services Manager and has the following contact phone number (979) 776-2426.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 2/2/2009.

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	000679	TEXAS	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	453404	MEDICARE PIN	TEXAS
2	063335601	MEDICAID	TEXAS
3	018213101	OTHER	TEXAS	EPSDT
4	192459901	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

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