| |
600 Hospital Cir Bay City TX 77414-4771 | |
(979) 245-0001 | |
(979) 244-8103 |
Full Name | |
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Speciality | Clinic/Center |
Location | 600 Hospital Cir, Bay City, Texas |
Authorized Official Name and Position | Michael Yost (VICE PRESIDENT) |
Authorized Official Contact | 8067760602 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1500 Broadway Ste 1000 Lubbock TX 79401-3179 Ph: (806) 791-1591 | 600 Hospital Cir Bay City TX 77414-4771 Ph: (979) 245-0001 |
NPI Number | 1225676604 |
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Provider Enumeration Date | 12/16/2019 |
Last Update Date | 05/13/2024 |
Medicare PECOS PAC ID | 4082862487 |
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Medicare Enrollment ID | O20180626001955 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225676604 | NPI | - | NPPES |
310938103 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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