# SIGNATURE GULF COAST HOSPITAL LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gulf Coast Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275576431
- **Authorized official:** MRS. NANCY S MONTELLO (DIRECTOR OF BUSINESS SERVICES)
- **Authorized official phone:** (979) 282-6141

## Contact information

- **Practice address:** 10141 US 59 RD, WHARTON, TX 77488-7224
- **Practice address phone:** (979) 282-6141
- **Practice address fax:** (979) 282-6036
- **Mailing address:** PO BOX 848487, DALLAS, TX 75284-8487
- **Mailing address phone:** (979) 282-6141
- **Mailing address fax:** (979) 282-6036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 008330 | TX | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 08/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 178815003 | — | TX |