Organization
SWEENY HOSPITAL DISTRICT
Active
Other names
West Columbia Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PARK (CEO)
(979) 548-1582
Entity
Organization
Contact information
Practice address
411 W BRAZOS AVE, WEST COLUMBIA, TX 77486-2611
(979) 345-2525
Mailing address
305 N MCKINNEY ST, SWEENY, TX 77480-2801
(979) 548-1598
(979) 548-1595
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
TX
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/31/2018
Last updated
10/10/2024
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