ST MARK'S MEDICAL CLINIC – NPI #1659638914
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
ST MARK'S MEDICAL CLINIC is a provider located in LA GRANGE, TX. NPPES has assigned the NPI number 1659638914 to ST MARK'S MEDICAL CLINIC on April 11, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST MARK'S MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is ST MARK'S MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was previously updated about 6 years ago on Aug 11, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST MARK'S MEDICAL CLINIC below.
NPI Profile for
ST MARK'S MEDICAL CENTER
(more than 14 years ago)
LA GRANGE, TX 78945-1255 Phone: (979) 242-2387 Fax: (979) 242-2206
LA GRANGE, TX 78945-1250 Phone: (979) 242-2104 Fax: (979) 242-2204
CHIEF CLINICAL OFFICER
Phone: (979) 242-2105
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for ST MARK'S MEDICAL CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS | TX | 0083XM |
| MEDICAID | TX | 176692503 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
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| 208000000X - Pediatrics |
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| 207V00000X - Obstetrics & Gynecology |
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| 207Q00000X - Family Medicine |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.