Organization
SIGNATURE 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 SERVICES)
(979) 282-6141
Entity
Organization
Contact information
Practice address
10141 US 59 RD, WHARTON, TX 77488-7224
(979) 282-6141
(979) 282-6036
Mailing address
PO BOX 848487, DALLAS, TX 75284-8487
(979) 282-6141
(979) 282-6036
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
008330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178815003
—
TX
Enumeration date
06/14/2006
Last updated
08/04/2008
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