# EL CAMPO MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mid Coast Well Care - Boling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538750468
- **Authorized official:** ANITA M CRISP (VP PHYSICIAN SERVICES)
- **Authorized official phone:** (979) 543-5510

## Contact information

- **Practice address:** 10555 FM 1301 RD, BOLING, TX 77420-9660
- **Practice address phone:** (979) 543-5510
- **Mailing address:** 305 SANDY CORNER RD, EL CAMPO, TX 77437-9535
- **Mailing address phone:** (979) 543-5510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 05/14/2021