Organization
ST. JOSEPH REGIONAL HEALTH CENTER
Active
Other names
St. Joseph Somerville Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENA WHITE (PATIENT FINANCIAL SERVICES MANAGER)
(979) 776-2426
Entity
Organization
Contact information
Practice address
600 MEMORY LANE, SOMERVILLE, TX 77879-0995
(979) 776-2426
(979) 776-5948
Mailing address
2800 S TEXAS AVE STE 202, BRYAN, TX 77802-5361
(979) 776-3777
(979) 776-5914
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
000679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018213101
EPSDT
TX
05
—
063335601
—
TX
05
—
192459901
—
TX
Enumeration date
12/05/2006
Last updated
03/13/2025
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