GULF COAST HEALTH CENTER INC (NPI# 1912904897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912904897 |
| Entity Type | Organization |
| Organization Name | GULF COAST HEALTH CENTER INC |
| Practice Address |
2548 Memorial Blvd Port Arthur TX 77640-2825 |
| Practice Telephone | 4099831161 |
| Practice Fax Number | 4099834933 |
| Mailing Telephone | 4099831161 |
| Mailing Fax Number | 4099834933 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-11-09 |
| Authorized Official Name | DR. MARSHA E THIGPEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4099831161 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 126826002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036932 | Gulf Coast Health Center Inc | Clinic/Center | 755 N 4th St, Silsbee, TX 77656-3802 | 2005-07-07 |
| 1639176324 | Gulf Coast Health Center Inc | Clinic/Center | 103 East Gibson, Suite 110 &112, Jasper, TX 75951 | 2005-07-07 |
| 1508864216 | Gulf Coast Health Center Inc | Clinic/Center | 610 Strickland Dr Ste 380, Orange, TX 77630-4787 | 2005-07-07 |
| Street Address |
2548 MEMORIAL BLVD |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640-2825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270940 | Joshua Loflin | Counselor | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2020-03-16 |
| 1093348278 | Kahla Shay Garrett | Nurse Practitioner | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2020-02-17 |
| 1942843982 | Alpha Vu | Pharmacist | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2019-10-22 |
| 1881165322 | Timothy Allen Winberg | Counselor | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2018-12-10 |
| 1932681467 | Jedidiah Morgan | Nurse Practitioner | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2018-08-31 |
| 1811478449 | Eustacia O Hudson-wagner | Peer Specialist | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2018-08-22 |
| 1568943280 | Amanda Torres | Peer Specialist | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2018-08-22 |
| 1538640263 | Charlene Crowe | Peer Specialist | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2018-08-21 |
| 1265925739 | Heather Nicole Rhodes | Dentist | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2018-06-10 |
| 1861989949 | Cynthia Elizabeth Arceneaux | Nurse Practitioner | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2018-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
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| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
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| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
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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.