Provider Demographics
NPI:1457972184
Name:SAGINAW MEDICAL CENTER
Entity Type:Organization
Organization Name:SAGINAW MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARONTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-477-3656
Mailing Address - Street 1:204 WJ BOAZ RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76179-4396
Mailing Address - Country:US
Mailing Address - Phone:682-477-3656
Mailing Address - Fax:682-477-3655
Practice Address - Street 1:204 WJ BOAZ RD STE 200
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76179-4396
Practice Address - Country:US
Practice Address - Phone:682-477-3656
Practice Address - Fax:682-477-3655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty