ROCKDALE BLACKHAWK, LLC


Address: 1700 Brazos, Suite A, B and C, Rockdale, TX 76567
Phone: 5124464500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 321720001 05

Other Provider/Organization Names

Other Name Type Code
LIttle River Healthcare - Family Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1700 BRAZOS
SUITE A, B AND C
City ROCKDALE
State TX
Zip Code 76567

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316373616 Kristi Lynn Estrada Nurse Practitioner 1700 Brazos, Rockdale, TX 76567 2013-09-18

Providers in the same zip code

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 Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639776586 West Texas Family Medicine, Pllc Clinic/Center 315 W Cleveland St, Hale Center, TX 79041 2020-10-05
1780298547 Coryell County Memorial Hospital Authority Clinic/Center 498 Avenue E, Moody, TX 76557-3579 2020-08-31
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
Find all providers with the same taxonomy

Competitor

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City ROCKDALE
Zip Code 76567

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Dataset Information

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.

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