Provider Demographics
NPI:1669620159
Name:BELL COUNTY PUBLIC HEATLH DISTRICT
Entity type:Organization
Organization Name:BELL COUNTY PUBLIC HEATLH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSES
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONSUELO
Authorized Official - Middle Name:MOLINA
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:WHNP-BC
Authorized Official - Phone:254-778-4766
Mailing Address - Street 1:509 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-5567
Mailing Address - Country:US
Mailing Address - Phone:254-773-4457
Mailing Address - Fax:254-773-7535
Practice Address - Street 1:309 N 2ND ST
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-5204
Practice Address - Country:US
Practice Address - Phone:254-526-8372
Practice Address - Fax:254-526-5343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX088334004Medicaid
TXC18453Medicare UPIN