Organization
ST JOSEPH REGIONAL HEALTH CENTER
Active
Other names
St Joseph Ambulatory Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE BOSTWICK (CEO)
(979) 776-2599
Entity
Organization
Contact information
Practice address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(979) 776-2426
(979) 776-5948
Mailing address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(979) 776-2426
(979) 776-5948
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094732702
CIDC
—
01
—
127267602
HASC
—
05
—
127267603
—
TX
01
—
4500498326
CLIA
—
Enumeration date
09/06/2005
Last updated
03/06/2025
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