EL CAMPO MEMORIAL HOSPITAL (NPI# 1194349217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194349217 |
| Entity Type | Organization |
| Organization Name | EL CAMPO MEMORIAL HOSPITAL |
| Practice Address |
204 4th Street Ganado TX 77962 |
| Mailing Address |
305 Sandy Corner Rd El Campo TX 77437-9535 |
| Practice Telephone | 3617713311 |
| Mailing Telephone | 9795435510 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | ANITA M CRISP (VICE PRESIDENT PHYSICIAN SERVICES) |
| Authorized Official Telephone | 9795435510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mid Coast WellCare - Ganado | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215585591 | El Campo Memorial Hospital | Family Medicine | 591 Fm 616, Blessing, TX 77419 | 2019-08-29 |
| 1417413188 | El Campo Memorial Hospital | Family Medicine | Ladieu Technology Center Room 112, 911 Boling Highway, Wharton, TX 77488 | 2019-02-18 |
| 1114482551 | El Campo Memorial Hospital | Family Medicine | 408 2nd Street, Louise, TX 77455 | 2019-02-08 |
| 1508386921 | El Campo Memorial Hospital | Family Medicine | 10358 Us Hwy 59 #a, Wharton, TX 77488 | 2017-06-27 |
| 1285259218 | El Campo Memorial Hospital | Clinic/Center | 1001 5th St, Palacios, TX 77465-4307 | 2020-06-16 |
| 1669091013 | El Campo Memorial Hospital | Obstetrics & Gynecology | 720 Avenue F N, Bay City, TX 77414-9573 | 2020-04-15 |
| 1699230185 | El Campo Memorial Hospital | Family Medicine | 600 W Norris St, El Campo, TX 77437-2430 | 2019-02-08 |
| 1538624143 | El Campo Memorial Hospital | Family Medicine | 1602 N Mechanic St, El Campo, TX 77437-2640 | 2019-02-07 |
| 1942773874 | El Campo Memorial Hospital | Clinic/Center | 307 Green Ave, Palacios, TX 77465-3213 | 2019-01-03 |
| 1518465616 | El Campo Memorial Hospital | Family Medicine | 1403 Valhalla Dr, Wharton, TX 77488-9218 | 2018-01-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EL CAMPO MEMORIAL HOSPITAL | 303 Sandy Corner Rd, El Campo, TX 77437-9535 |
| Street Address |
204 4TH STREET |
| City | GANADO |
| State | TX |
| Zip Code | 77962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396189635 | Brookshire Brothers Inc | Pharmacy | 305 West York, Ganado, TX 77962 | 2013-04-17 |
| 1811025125 | Ganado Isd | Local Education Agency (LEA) | 211 S. Sixth Street, Ganado, TX 77962 | 2007-02-28 |
| 1346394335 | City of Ganado | Ambulance | 112 E Putnam Ave., Ganado, TX 77962 | 2007-01-23 |
| 1992152649 | Brittney Richelle Cruse | Pharmacist | 305 West York, Ganado, TX 77962 | 2016-05-23 |
| 1033301866 | Ronald D. Kosanke | Physician Assistant | 204 S. 4th Street, Ganado, TX 77962-0000 | 2007-08-15 |
| 1780687251 | Joe Lynn Bonnot | Dentist | 114 S 3rd St, Ganado, TX 77962-0302 | 2005-05-27 |
| 1407892698 | Jackson County Hospital District | Skilled Nursing Facility | 107 E Rogers, Ganado, TX 77962-1204 | 2006-06-22 |
| 1154350296 | W Sam Williams Jr Md Pa | Clinic/Center | 204 South 4th Street, Ganado, TX 77962-1210 | 2006-07-01 |
| 1942231824 | Wilford Samuel Williams | Family Medicine | 204 South 4th Street, Ganado, TX 77962-1210 | 2006-07-06 |
| 1346283033 | Jackson County Hospital District | Clinic/Center | 202 S Third Street, Ganado, TX 77962-1214 | 2006-06-13 |
| Find all providers in zip 77962 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194960435 | Isaiah L. Ford | Internal Medicine | Arizona Hwy 264 & Hwy 191, Ganado, AZ 86505 | 2008-12-15 |
| 1073696357 | Jackson County Hospital District | Internal Medicine | 202 S. Third Street, Ganado, TX 77962-1214 | 2006-10-23 |
| 1477537009 | Jonathan H Ostrow | Internal Medicine | Highway 265 West and Junction 191 South, Sage Memorial Hospital, Ganado, AZ 86505 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334936 | Samantha H. Goodman, Md, Pllc | Internal Medicine | 3926 S Treadaway Blvd Ste B2, Abilene, TX 79602-6939 | 2020-10-23 |
| 1750989109 | 3d Regeneration LLC | Internal Medicine | 11610 Bee Caves Rd Ste 230, Austin, TX 78738-5457 | 2020-10-16 |
| 1174121552 | Taiwo Kuye, Md Pa | Internal Medicine | 7135 N Expressway 77 Ste C, Olmito, TX 78575-5204 | 2020-10-16 |
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1588262711 | Medicus Internal Medicine & Primary Care Pllc | Internal Medicine | 2822 Dogwood Terrace Ln, Katy, TX 77494-7166 | 2020-10-09 |
| 1588261002 | Cardiac Rhythm Center Pllc | Internal Medicine | 2527 Gramercy St, Houston, TX 77030-3107 | 2020-10-07 |
| 1982210571 | Kim L Rowlands | Internal Medicine | 6101 E Oltorf, None, Austin, TX 78704-7875 | 2020-09-18 |
| 1891301438 | Primary Care of Houston Pllc | Internal Medicine | 19255 Park Row Ste 204b, Houston, TX 77084-7310 | 2020-09-18 |
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1528674561 | Knight Doctor Pllc | Internal Medicine | 1401 Eva St Apt 304, Austin, TX 78704-3069 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.