Organization
BELLVILLE HOSPITAL DISTRICT
Active
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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