Organization
SWEENY HOSPITAL DISTRICT
Active
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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