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
1	261QR1300X	Rural Health Clinic/Center	000679	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144397316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. JOSEPH REGIONAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	2800 S TEXAS AVE STE 202
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77802-5361
Country	:	US
Telephone Number	:	936-266-3513
Fax Number	:	936-266-8618

Provider Business Practice Location Address
First Line	:	8465 N. HWY. 77
Second Line	:
City	:	LEXINGTON
State	:	TX
Zip	:	78947-0577
Country	:	US
Telephone Number	:	979-773-9000
Fax Number	:	979-773-9501

Authorized Official
Title or Position	:	PATIENT FINANCIAL SERVICES MANAGER
Name	:	MRS. TERESA JOHNSON
Credential	:
Telephone Number	:	979-776-2426

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	03/13/2025

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

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