EL CAMPO MEMORIAL HOSPITAL (NPI# 1114482551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114482551 |
| Entity Type | Organization |
| Organization Name | EL CAMPO MEMORIAL HOSPITAL |
| Practice Address |
408 2nd Street Louise TX 77455 |
| Mailing Address |
305 Sandy Corner Rd El Campo TX 77437-9535 |
| Practice Telephone | 9795435510 |
| Mailing Telephone | 9795435510 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | ANITA M CRISP (CLINIC DIRECTOR) |
| Authorized Official Telephone | 9795435510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MidCoast WellCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349217 | El Campo Memorial Hospital | Internal Medicine | 204 4th Street, Ganado, TX 77962 | 2020-06-04 |
| 1215585591 | El Campo Memorial Hospital | Family Medicine | 591 Fm 616, Blessing, TX 77419 | 2019-08-29 |
| 1417413188 | El Campo Memorial Hospital | Family Medicine | Ladieu Technology Center Room 112, 911 Boling Highway, Wharton, TX 77488 | 2019-02-18 |
| 1508386921 | El Campo Memorial Hospital | Family Medicine | 10358 Us Hwy 59 #a, Wharton, TX 77488 | 2017-06-27 |
| 1285259218 | El Campo Memorial Hospital | Clinic/Center | 1001 5th St, Palacios, TX 77465-4307 | 2020-06-16 |
| 1669091013 | El Campo Memorial Hospital | Obstetrics & Gynecology | 720 Avenue F N, Bay City, TX 77414-9573 | 2020-04-15 |
| 1699230185 | El Campo Memorial Hospital | Family Medicine | 600 W Norris St, El Campo, TX 77437-2430 | 2019-02-08 |
| 1538624143 | El Campo Memorial Hospital | Family Medicine | 1602 N Mechanic St, El Campo, TX 77437-2640 | 2019-02-07 |
| 1942773874 | El Campo Memorial Hospital | Clinic/Center | 307 Green Ave, Palacios, TX 77465-3213 | 2019-01-03 |
| 1518465616 | El Campo Memorial Hospital | Family Medicine | 1403 Valhalla Dr, Wharton, TX 77488-9218 | 2018-01-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EL CAMPO MEMORIAL HOSPITAL | 303 Sandy Corner Rd, El Campo, TX 77437-9535 |
| Street Address |
408 2ND STREET |
| City | LOUISE |
| State | TX |
| Zip Code | 77455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912466038 | Kelsie Barta | Nurse Practitioner | 408 2nd Street, Louise, TX 77455 | 2019-03-18 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.