| Matagorda Medical Group | |
|
600 Hospital Cir Bay City TX 77414-4771 | |
| (979) 245-0001 | |
| (979) 244-8103 |
| Full Name | Matagorda Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Hospital Cir, Bay City, Texas |
| Authorized Official Name and Position | Michael Yost (VICE PRESIDENT) |
| Authorized Official Contact | 8067760602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matagorda Medical Group 2950 50th St Lubbock TX 79413-4326 Ph: (806) 791-1591 | Matagorda Medical Group 600 Hospital Cir Bay City TX 77414-4771 Ph: (979) 245-0001 |
| NPI Number | 1225676604 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 12/13/2023 |
| Medicare PECOS PAC ID | 4082862487 |
|---|---|
| Medicare Enrollment ID | O20180626001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225676604 | NPI | - | NPPES |
| 310938103 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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