EL CAMPO MEMORIAL HOSPITAL (NPI# 1518465616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518465616 |
| Entity Type | Organization |
| Organization Name | EL CAMPO MEMORIAL HOSPITAL |
| Other Organization Name | MID COAST MEDICAL CENTER |
| Practice Address |
1403 Valhalla Dr Wharton TX 77488-9218 |
| Mailing Address |
305 Sandy Corner Rd El Campo TX 77437-9535 |
| Practice Telephone | 9795322000 |
| Mailing Telephone | 9795435510 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | ANITA M CRISP (CLINIC DIRECTOR) |
| Authorized Official Telephone | 9795435510 |
| Is Organization Subpart | Y |
| Parent Organization Name | EL CAMPO MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mid Coast Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349217 | El Campo Memorial Hospital | Internal Medicine | 204 4th Street, Ganado, TX 77962 | 2020-06-04 |
| 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 |
| 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 |
1403 VALHALLA DR |
| City | WHARTON |
| State | TX |
| Zip Code | 77488-9218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821256942 | Nathan Phuckhac Nguyen | Family Medicine | 1403 Valhalla Dr, Wharton, TX 77488-9218 | 2008-05-27 |
| 1659922086 | Debra Hulsey | Nurse Practitioner | 1403 Valhalla Dr, Wharton, TX 77488-9218 | 2019-09-26 |
| 1982169546 | Raytoysha Evette Mcmillian | Nurse Practitioner | 1403 Valhalla Dr, Wharton, TX 77488-9218 | 2019-02-07 |
| 1336393156 | Nathan Nguyen, Md, Pa | Family Medicine | 1403 Valhalla Dr, Wharton, TX 77488-9218 | 2008-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1417413188 | El Campo Memorial Hospital | Family Medicine | Ladieu Technology Center Room 112, 911 Boling Highway, Wharton, TX 77488 | 2019-02-18 |
| 1740761311 | L S & Associates LLC | Contractor | 701 Mattie St, Wharton, TX 77488 | 2018-08-22 |
| 1740770361 | Blake Benson | Counselor | 4004 Peach Creek Dr, Wharton, TX 77488 | 2018-05-18 |
| 1750886495 | Clifford Eleazer Wilson | Pharmacist | 214 W Alhdag Avenue, Wharton, TX 77488 | 2018-03-26 |
| 1376045104 | There Is Victory In Jesus Recovery Center | Counselor | 218 North Houston Street, Wharton, TX 77488 | 2018-03-07 |
| 1578084877 | Wharton Eye Associates Pa | Ophthalmology | 10119 Us Hwy 59 South, Suite 4, Wharton, TX 77488 | 2017-06-28 |
| 1508386921 | El Campo Memorial Hospital | Family Medicine | 10358 Us Hwy 59 #a, Wharton, TX 77488 | 2017-06-27 |
| 1710334602 | Amgref Health Systems Corporation | Home Health | 307 West Milam Street, Suite 201, Wharton, TX 77488 | 2016-05-20 |
| 1073997078 | Elelyon Health Care LLC | Home Health | 607 N Fulton Street, Wharton, TX 77488 | 2015-07-20 |
| Find all providers in zip 77488 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417413188 | El Campo Memorial Hospital | Family Medicine | Ladieu Technology Center Room 112, 911 Boling Highway, Wharton, TX 77488 | 2019-02-18 |
| 1508386921 | El Campo Memorial Hospital | Family Medicine | 10358 Us Hwy 59 #a, Wharton, TX 77488 | 2017-06-27 |
| 1225359235 | Lindsey Elizabeth Tijerina | Family Medicine | 307 W. Milam St, Ste. 311, Wharton, TX 77488 | 2010-06-14 |
| 1821256942 | Nathan Phuckhac Nguyen | Family Medicine | 1403 Valhalla Dr, Wharton, TX 77488-9218 | 2008-05-27 |
| 1689864613 | Francisco J.ortiz M.d. | Family Medicine | 1317 Hospital Dr., Wharton, TX 77488 | 2007-07-26 |
| 1982656583 | Mark Anthony Marconi | Family Medicine | 10119 Us 59 Hwy, Wharton, TX 77488-7224 | 2006-05-16 |
| 1821441320 | Lindsey E. Tijerina, Md Pa | Family Medicine | 307 W. Milam St, Ste. 311, Wharton, TX 77488 | 2016-07-20 |
| 1649681354 | Laura Aronson | Family Medicine | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2014-05-15 |
| 1336393156 | Nathan Nguyen, Md, Pa | Family Medicine | 1403 Valhalla Dr, Wharton, TX 77488-9218 | 2008-11-06 |
| 1043400898 | Ira A. Morris | Family Medicine | 35767 Pond Fork Rd, Wharton, WV 25208-0089 | 2007-07-27 |
| Find all providers in WHARTON | ||||
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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.