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General NPI Number Information
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NPI Number | 1487739991
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH REGIONAL HEALTH CENTER
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 100 W CROSS ST
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City | MADISONVILLE
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State | TX
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Zip | 77864-2432
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Country | US
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Telephone | 936-348-3418
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Fax | 936-348-5846
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Provider Business Mailing Address
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Address Line | 100 W CROSS ST
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City | MADISONVILLE
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State | TX
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Zip | 77864-2432
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Country | US
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Telephone | 936-348-2631
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Fax |
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Authorized Official
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Title or Position | PATIENT FINANCIAL SERVICES MANAGER
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Name | MRS. RENA WHITE
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Credential |
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Telephone | 979-776-2426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 41
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License Number State | TX
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