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NPI Code Detail

MEDICARE: ST. JOSEPH REGIONAL HEALTH CENTER

MEDICARE: ST. JOSEPH REGIONAL HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/CenterTX

General Provider Information

NPI Number : 1003075193
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. JOSEPH REGIONAL HEALTH CENTER
Provider Business Mailing Address
First Line : 2801 FRANCISCAN DR
Second Line : ATTN: RURAL HEALTH CLINICS
City : BRYAN
State : TX
Zip : 77802-2544
Country : US
Telephone Number : 979-731-5694
Fax Number :
Provider Business Practice Location Address
First Line : 808 6TH ST
Second Line : ST. JOSEPH HEMPSTEAD FAMILY MEDICINE CLINIC
City : HEMPSTEAD
State : TX
Zip : 77445-5402
Country : US
Telephone Number : 979-826-3341
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. ANTHONY D. PFITZER
Credential :
Telephone Number : 979-776-2599
Provider Enumeration Date : 06/04/2008
Last Update Date : 06/04/2008

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Directions to “ST. JOSEPH REGIONAL HEALTH CENTER ” Practice Location

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