Organization
BELLVILLE MEDICAL CENTER
Active
Other names
Mid Coast Medical Clinic-Bellville, Mid Coast Medical Center-Bellville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MAK (CHIEF FINANCIAL OFFICER)
(979) 543-6251
Entity
Organization
Contact information
Practice address
44 N. CUMMINGS ST., BELLVILLE, TX 77418
(979) 413-7400
(979) 413-7190
Mailing address
PO BOX 977, BELLVILLE, TX 77418
(979) 413-7400
(979) 413-7190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
282N00000X
General Acute Care Hospital
00552
TX
282N00000X
General Acute Care Hospital
Primary
100210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0832909-04
—
TX
05
—
0832909-05
—
TX
05
—
0832909-06
—
TX
05
—
083290905
—
TX
01
—
45U253
SWING BED
TX
01
—
45U253
SWING BED
—
Enumeration date
01/06/2011
Last updated
03/27/2023
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