ROCKDALE BLACKHAWK, LLC (NPI# 1285911123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285911123 |
Entity Type | Organization |
Organization Name | ROCKDALE BLACKHAWK, LLC |
Other Organization Name | LITTLE RIVER HEALTHCARE - FAMILY CARE CENTER |
Practice Address |
1700 Brazos Suite A, B and C Rockdale TX 76567 |
Mailing Address |
P.o. Box 1010 Rockdale TX 76567 |
Practice Telephone | 5124464500 |
Practice Fax Number | 5124460084 |
Mailing Telephone | 5124464500 |
Mailing Fax Number | 5124460084 |
Enumeration Date | 2011-11-07 |
Last Update Date | 2015-04-09 |
Authorized Official Name | JEFFREY P MADISON (CEO) |
Authorized Official Telephone | 5124464500 |
Is Organization Subpart | Y |
Parent Organization Name | ROCKDALE BLACKHAWK, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 321720001 | 05 |
Other Name | Type Code |
---|---|
LIttle River Healthcare - Family Care Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
1760926604 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 623 Hwy 71 W, Suite 204, Bastrop, TX 78602-4166 | 2016-12-12 |
1124562053 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 815 Hwy 71 W, Suite 1150, Bastrop, TX 78602-0319 | 2016-12-12 |
1437693363 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 2500 West William Cannon Drive, Suite 401, Austin, TX 78745-5290 | 2016-12-12 |
1407399884 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 207 W Avenue E, Suite 1000, Lampasas, TX 76550-1820 | 2016-12-02 |
1972047801 | Rockdale Blackhawk, LLC | Orthopaedic Surgery | 135 Bunton Creek Road, Suite 302a, Kyle, TX 78640-5701 | 2016-12-12 |
1538610274 | Rockdale Blackhawk, LLC | General Practice | 2200 Park Bend Dr, Bldg 2-301, Austin, TX 78758-5387 | 2016-10-18 |
1437448156 | Rockdale Blackhawk, LLC | Physiological Laboratory | 2401 Fm 646 Rd W, Suite B, Dickinson, TX 77539-3249 | 2011-04-04 |
1982894408 | Rockdale Blackhawk, LLC | Clinic/Center | 104 S Magnolia St, Hearne, TX 77859-2565 | 2007-07-31 |
1811100076 | Rockdale Blackhawk, LLC | General Acute Care Hospital | 1700 Brazos Ave, Rockdale, TX 76567-2517 | 2007-05-07 |
Street Address |
1700 BRAZOS SUITE A, B AND C |
City | ROCKDALE |
State | TX |
Zip Code | 76567 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316373616 | Kristi Lynn Estrada | Nurse Practitioner | 1700 Brazos, Rockdale, TX 76567 | 2013-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912372459 | Rockdale Snf LLC | Skilled Nursing Facility | 1350 W Us Highway 79, Rockdale, TX 76567 | 2015-12-09 |
1295125391 | Melinda Richards Catching | Speech-Language Pathologist | 123 West Cameron Ave., Rockdale, TX 76567 | 2015-01-27 |
1447206669 | Christen J Leblanc | Emergency Medicine | 1700 Brazos Ave., Rockdale, TX 76567 | 2006-05-26 |
1205309028 | Bradford Ingram | Licensed Vocational Nurse | 1800 Sager Rd, Rockdale, TX 76567-2060 | 2019-01-03 |
1932409786 | Malda Mayo Burns | Counselor | 1503 Skyles Rd, Rockdale, TX 76567-2074 | 2010-10-27 |
1740580356 | Burns Professional Services LLC | Community/Behavioral Health | 1503 Skyles Rd, Rockdale, TX 76567-2074 | 2010-10-28 |
1639259179 | Arboretum Health Care, Inc. | Skilled Nursing Facility | 700 Dyer St, Rockdale, TX 76567-2208 | 2006-10-17 |
1740559640 | Alison Parker | Speech-Language Pathologist | 700 Dyer St, Rockdale, TX 76567-2208 | 2011-12-21 |
1730343088 | Elijah N. Doncov | Occupational Therapist | 700 Dyer St, Rockdale, TX 76567-2208 | 2008-07-16 |
1518365717 | Kyle Bow | Clinic/Center | 618 Jackson St, Rockdale, TX 76567-2216 | 2014-12-21 |
Find all providers in zip 76567 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104061076 | Cameron Hospital Inc | Clinic/Center | 725 Taylor Banc Plaza Ave, Rockdale, TX 76567-2781 | 2008-12-08 |
1609007756 | Rockdale Blackhawk LLC | Clinic/Center | 1700 Brazos Ave, Rockdale, TX 76567-2517 | 2009-08-06 |
1023234978 | Rockdale Blackhawk LLC | Clinic/Center | 602 N Main St, Rockdale, TX 76567-2323 | 2007-04-18 |
1699798512 | Rockdale Blackhawk LLC | Clinic/Center | 602 N Main St, Rockdale, TX 76567-2323 | 2006-07-25 |
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1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.