Organization
GULF COAST HOSPITAL LP
Active
Other names
Gulf Coast Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY S MONTELLO (DIRECTOR OF BUSINESS OFFICE)
(979) 282-6141
Entity
Organization
Contact information
Practice address
1400 HWY 59 BYPASS, WHARTON, TX 77488
(979) 282-6100
(979) 282-6190
Mailing address
PO BOX 848487, DALLAS, TX 75284
(979) 282-6100
(979) 282-6190
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008330
TX
282N00000X
General Acute Care Hospital
008330
TX
314000000X
Skilled Nursing Facility
008330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136333503
—
TX
05
—
136333505
—
TX
05
—
136333507
—
TX
Enumeration date
11/06/2008
Last updated
11/14/2008
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