Healthcare Provider Details
I. General information
NPI: 1669620159
Provider Name (Legal Business Name): BELL COUNTY PUBLIC HEATLH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2008
Last Update Date: 03/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
309 N 2ND ST
KILLEEN TX
76541-5204
US
IV. Provider business mailing address
509 S 9TH ST
TEMPLE TX
76504-5567
US
V. Phone/Fax
- Phone: 254-526-8372
- Fax: 254-526-5343
- Phone: 254-773-4457
- Fax: 254-773-7535
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP0905X |
| Taxonomy | State or Local Public Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CONSUELO
MOLINA
ELLIOTT
Title or Position: DIRECTOR OF NURSES
Credential: W.H.N.P.-B.C.
Phone: 254-778-4766