# BELLVILLE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mid Coast Medical Clinic-Bellville, Mid Coast Medical Center-Bellville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477857332
- **Authorized official:** MR. DAVID MAK (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (979) 543-6251

## Contact information

- **Practice address:** 44 N. CUMMINGS ST., BELLVILLE, TX 77418
- **Practice address phone:** (979) 413-7400
- **Practice address fax:** (979) 413-7190
- **Mailing address:** PO BOX 977, BELLVILLE, TX 77418
- **Mailing address phone:** (979) 413-7400
- **Mailing address fax:** (979) 413-7190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | 00552 | TX | — |
| 282N00000X | General Acute Care Hospital | 100210 | TX | Yes |

## Other

- **Enumeration date:** 01/06/2011
- **Last updated:** 03/27/2023