Organization
BELLVILLE HOSPITAL DISTRICT
Active
Other names
Medical Clinic of Bellville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MORRIS (CEO)
(979) 865-3141
Entity
Organization
Contact information
Practice address
235 W PALM ST, SUITE 108, BELLVILLE, TX 77418-1300
(979) 865-3141
(979) 865-9161
Mailing address
44 N CUMMINGS ST, PO BOX 977, BELLVILLE, TX 77418-1347
(979) 865-3141
(979) 865-9161
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U21U
BLUE CROSS BLUE SHIELD
TX
05
—
0855876-01
—
TX
05
—
085587602
—
TX
05
—
085587603
—
TX
Enumeration date
12/15/2006
Last updated
11/18/2010
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