Organization Name:  ST JOSEPH REGIONAL HEALTH CENTER


Practice Location:
2801 FRANCISCAN DR  BRYAN, TX 77802 US
Tel: 979-776-2426  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical
Y	282N00000X	Hospitals General Acute Care Hospital

Other Provider Identifiers:

Issuer	Number	State	Type
CLIA	4500498326		01
CIDC	094732702		01
	127267603	TX	05
HASC	127267602		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin