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 Suite100, Victoria TX 77904-1178. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Case Management 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 Suite100 Victoria TX 77904-1178
Phone: (361) 575-0611
Fax: (361) 575-0626
Website:
Map and Directions
Authorized official contact:
Name: Polzin, Donald L
Phone: (361) 575-0611

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1720057904
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720057904 NPPES
Texas MEDICAID 135254402

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