CITIZENS MEDICAL CENTER COUNTY OF VICTORIA (NPI# 1588063804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588063804 |
| Entity Type | Organization |
| Organization Name | CITIZENS MEDICAL CENTER COUNTY OF VICTORIA |
| Practice Address |
104 Rex Kerwin Ct Pflugerville TX 78660-2630 |
| Mailing Address |
2701 Hospital Dr Victoria TX 77901-5748 |
| Practice Telephone | 5122513915 |
| Practice Fax Number | 5122919884 |
| Mailing Telephone | 3615739181 |
| Mailing Fax Number | 3615725126 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | MR. STEPHEN R THAMES (CEO) |
| Authorized Official Telephone | 3615739181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 5570 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427106103 | Citizens Medical Center County of Victoria | Home Health | 2710 Hospital Dr Ste 202, Victoria, TX 77901-5743 | 2007-01-08 |
| 1396145587 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2014-08-26 |
| 1295134526 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 169 Medical Dr, Pearsall, TX 78061-6604 | 2014-08-22 |
| 1245639566 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2014-08-22 |
| 1669871984 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 1373 N Avenue C, Elgin, TX 78621-1528 | 2014-08-22 |
| 1326447640 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 9801 S 1st St, Austin, TX 78748-6760 | 2014-08-22 |
| 1942609268 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 5301 Duval Rd, Austin, TX 78727-6618 | 2014-08-22 |
| 1740689066 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 2806 Real St, Austin, TX 78722-1715 | 2014-08-22 |
| 1255730578 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 2735 Airline Rd, Corpus Christi, TX 78414-3306 | 2014-08-22 |
| 1902227747 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 101 South Lancaster, Moulton, TX 77975-0120 | 2013-12-20 |
| Street Address |
104 REX KERWIN CT |
| City | PFLUGERVILLE |
| State | TX |
| Zip Code | 78660-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750579868 | Juan B. Holguin | Physical Therapy Assistant | 104 Rex Kerwin Ct, Pflugerville, TX 78660 | 2007-10-15 |
| 1851871495 | Doricia Owens | Occupational Therapy Assistant | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 | 2018-08-14 |
| 1912487554 | Travis Mitchel | Physical Therapy Assistant | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 | 2018-08-14 |
| 1689153256 | Allison Burk | Speech-Language Pathologist | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 | 2018-08-14 |
| 1043790694 | April Dawn Logan | Occupational Therapy Assistant | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 | 2018-08-14 |
| 1295107142 | Sherri Lyn Cook-rousey | Nurse Practitioner | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 | 2015-10-29 |
| 1962735175 | Dewitt Medical District | Nursing Facility/Intermediate Care Facility | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912438 | Swish Dental Pfluggerville, PC | Dentist | 18817 N Heatherwilde Blvd Bldg 1 Ste 100, Pflugerville, TX 78660 | 2020-08-10 |
| 1982225710 | Carpe Diem Primary Care | Clinic/Center | 201 Heatherwilde Blvd, Suite 300, Pflugerville, TX 78660 | 2020-05-04 |
| 1093357055 | Pflugerville Almc, LLC | Assisted Living Facility | 1020 E. Wells Branch Parkway, Pflugerville, TX 78660 | 2019-10-11 |
| 1275186264 | K Family Dentistry | Clinic/Center | 428 Grand Avenue Parkway, Suite150, Pflugerville, TX 78660 | 2019-07-19 |
| 1356901284 | Mary-ellen Pon | Counselor | 2001 Serentiy Drive, Pflugerville, TX 78660 | 2019-06-13 |
| 1194282087 | Leomie Enette Slaughter | Nurse's Aide | 14233 The Lakes Blvd #938, Pflugerville, TX 78660 | 2019-02-27 |
| 1992272850 | Soh of Texas Samson Liu Pllc | Dentist | 1616 Ftm 685 #103, Pflugerville, TX 78660 | 2018-10-30 |
| 1700360476 | Baylor Health Enterprises, L.p. | Pharmacy | 2600 E. Pflugerville Pkwy, Suite 1.200, Pflugerville, TX 78660 | 2018-09-19 |
| 1487135216 | Erin Rachael Abbott | Licensed Vocational Nurse | 608 Palitine Ln, Pflugerville, TX 78660 | 2018-08-29 |
| 1346729159 | Baylor Scott & White Medical Centers - Capitol Area | General Acute Care Hospital | 2600 E Pflugerville Pkwy, Ste 100, Pflugerville, TX 78660 | 2018-08-13 |
| Find all providers in zip 78660 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417405978 | Charles Mansfield | Skilled Nursing Facility | 3308 Hawks Swoop Trl, Pflugerville, TX 78660-7778 | 2016-09-13 |
| 1952795783 | Guadalupe Regional Medical Center | Skilled Nursing Facility | 521 S Heatherwilde Blvd, Pflugerville, TX 78660-3668 | 2015-03-18 |
| 1023178662 | Pm Management-pflugerville Nc LLC | Skilled Nursing Facility | 521 S Heatherwilde Blvd., Pflugerville, TX 78660-3668 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | PFLUGERVILLE |
| Zip Code | 78660 |
Please comment or provide details below to improve the information on CITIZENS MEDICAL CENTER COUNTY OF VICTORIA.
| 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.