Healthcare Provider Details

I. General information

NPI: 1487739991
Provider Name (Legal Business Name): ST. JOSEPH REGIONAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W CROSS ST
MADISONVILLE TX
77864-2432
US

IV. Provider business mailing address

100 W CROSS ST
MADISONVILLE TX
77864-2432
US

V. Phone/Fax

Practice location:
  • Phone: 936-348-3418
  • Fax: 936-348-5846
Mailing address:
  • Phone: 936-348-2631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number41
License Number StateTX

VIII. Authorized Official

Name: MRS. RENA WHITE
Title or Position: PATIENT FINANCIAL SERVICES MANAGER
Credential:
Phone: 979-776-2426