DEWITT MEDICAL DISTRICT (NPI# 1487088118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487088118 |
| Entity Type | Organization |
| Organization Name | DEWITT MEDICAL DISTRICT |
| Practice Address |
113 W Main St Kenedy TX 78119-2717 |
| Practice Telephone | 8305830612 |
| Mailing Telephone | 8305830612 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2017-12-22 |
| Authorized Official Name | MR. GREG S PRITCHETT (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3612756191 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEWITT MEDICAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 368313802 | 05 | |
| TX | 368313803 | 05 | |
| TX | 368313801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811357155 | Dewitt Medical District | Skilled Nursing Facility | 222 Bertetti Dr, San Antonio, TX 78227-3950 | 2016-02-29 |
| 1932596343 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 4162 Wildcat Dr, Corpus Christi, TX 78410-5100 | 2015-04-23 |
| 1396144770 | Dewitt Medical District | Skilled Nursing Facility | 710 Highway 359 S, Brookshire, TX 77423 | 2014-08-21 |
| 1851629430 | Dewitt Medical District | Durable Medical Equipment & Medical Supplies | 5301 W Duval Rd, Austin, TX 78727-6618 | 2009-11-19 |
| 1396789491 | Dewitt Medical District | Skilled Nursing Facility | 208 Maple Street, Luling, TX 78648 | 2006-06-16 |
| 1861442469 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 2735 Airline Road, Corpus Christi, TX 78414 | 2006-05-12 |
| 1841254174 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 3130 S Brahma Blvd, Kingsville, TX 78363-7257 | 2006-04-13 |
| 1558331421 | Dewitt Medical District | Home Health | 615 N Esplanade St, Cuero, TX 77954 | 2006-01-24 |
| 1235671629 | Dewitt Medical District | Skilled Nursing Facility | 2 Towers Park Ln, San Antonio, TX 78209-6410 | 2016-11-16 |
| 1396296521 | Dewitt Medical District | Durable Medical Equipment & Medical Supplies | 2550 N Esplanade St, Cuero, TX 77954-4736 | 2016-10-24 |
| Street Address |
113 W MAIN ST |
| City | KENEDY |
| State | TX |
| Zip Code | 78119-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124107164 | Gracia Medical, LLP | Family Medicine | 113 W Main St, Kenedy, TX 78119-2717 | 2006-11-02 |
| 1487697660 | Mary Gail Moody | Nurse Practitioner | 113 W Main St, Kenedy, TX 78119-2717 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467801779 | Nathan Borgfeld | Family Medicine | Kaiser Family Practice, 3349 South Hwy 181, Suite #3, Kenedy, TX 78119 | 2016-06-07 |
| 1245627850 | William Seal Byers | Specialist | 10235 Fm 743, Kenedy, TX 78119 | 2015-04-21 |
| 1548667355 | Khush Dentistry Pllc | Clinic/Center | 119 Business Park Drive, Suite 200, Kenedy, TX 78119 | 2014-11-21 |
| 1881014314 | H-e-b, Lp | Clinical Medical Laboratory | 107 N Sunset Strip, Kenedy, TX 78119 | 2014-04-23 |
| 1700128097 | Brittany Okpagu | Family Medicine | 3349 Us-181, Kenedy, TX 78119 | 2013-03-25 |
| 1770702946 | Mary P Phelps | Dentist | 330 West Live Oak Street, Kenedy, TX 78119 | 2007-04-25 |
| 1265525950 | Prescription Shop | Durable Medical Equipment & Medical Supplies | 143 Craig Street, Kenedy, TX 78119 | 2006-10-02 |
| 1124015268 | Kenedy Manor Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 7882 S Highway 181, Drawer E, Kenedy, TX 78119 | 2005-10-04 |
| 1932273703 | Seraphic Sisters Inc | Nursing Facility/Intermediate Care Facility | 209 S 3rd St, Kenedy, TX 78119-0359 | 2006-11-20 |
| 1073531828 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 200 Business Park Blvd, Kenedy, TX 78119-2026 | 2006-07-18 |
| Find all providers in zip 78119 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930418 | Karnes County Hospital District | Clinic/Center | 3349 S Highway 181 Ste 3, Kenedy, TX 78119-5268 | 2019-03-11 |
| 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 | ||||
Please comment or provide details below to improve the information on DEWITT MEDICAL DISTRICT.
| 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.