Gulf Bend Mhmr Center
LBN: Gulf Bend Mhmr Center
Gulf Bend Mhmr Center is an health care organization with primary practice located at 6502 Nursery Dr Suite 100, Victoria TX 77904-1178. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Gulf Bend Mhmr Center can be contacted via phone (361) 575-0611, or through Polzin, Donald L via phone (361) 575-0611.
Contact Information
Primary practice address
6502 Nursery Dr Suite 100
Victoria TX 77904-1178
Phone: (361) 575-0611
Fax: (361) 575-0626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1912976101 |
|---|---|
| LBN Legal business name | Gulf Bend Mhmr Center |
| DBA Doing business as | |
| Authorized official | Polzin, Donald L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Aug 3rd, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912976101 | NPPES |
| Texas | MEDICAID | 135254405 |
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