JOURDANTON HOSPITAL CORPORATION (NPI# 1740258417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740258417 |
| Entity Type | Organization |
| Organization Name | JOURDANTON HOSPITAL CORPORATION |
| Other Organization Name | THREE RIVERS FAMILY HEALTH CLINIC |
| Practice Address |
105 E Thornton St Three Rivers TX 78071 |
| Mailing Address |
Po Box 847974 Dallas TX 75284-7974 |
| Practice Telephone | 3617862626 |
| Practice Fax Number | 3617861702 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | MICHAEL PORTACCI (SENIOR VP, GROUP OPERATIONS) |
| Authorized Official Telephone | 8883739600 |
| Is Organization Subpart | Y |
| Parent Organization Name | JOURDANTON HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
000334 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Three Rivers Family Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477711083 | Jourdanton Hospital Corporation | Family Medicine | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2008-05-30 |
| 1669542429 | Jourdanton Hospital Corporation | Medicare Defined Swing Bed Unit | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2006-11-09 |
| 1316918733 | Jourdanton Hospital Corporation | Rehabilitation Unit | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2006-02-01 |
| 1184695785 | Jourdanton Hospital Corporation | General Acute Care Hospital | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2006-01-31 |
| Street Address |
105 E THORNTON ST |
| City | THREE RIVERS |
| State | TX |
| Zip Code | 78071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417290685 | Lynn Lea Bullard | Nurse Practitioner | Fci Three Rivers, Federal Bureau of Prison, Three Rivers, TX 78071 | 2013-04-05 |
| 1336491083 | Atascosa Health Center, Inc. | Clinic/Center | 105 E. Thornton, Three Rivers, TX 78071 | 2012-10-04 |
| 1558673640 | Soliz Physical Therapy Pllc | Physical Therapist | 305 West Thornton Street, Three Rivers, TX 78071 | 2010-07-06 |
| 1447445804 | Live Oak County | Case Management | 102 N Harborth Ave, Three Rivers, TX 78071 | 2007-09-10 |
| 1518170125 | Cary A Pruski | Dentist | 200 Thornton St, Three Rivers, TX 78071 | 2007-05-08 |
| 1407980535 | Dusty D Soliz | Physical Therapist | 305 W Thornton St, Three Rivers, TX 78071 | 2007-03-14 |
| 1821170002 | Three Rivers Pharmacy, LLC | Pharmacy | 101 W. Thornton, Three Rivers, TX 78071 | 2006-10-19 |
| 1124099007 | Wayne Oliver Ghans | Family Medicine | 105 E Thornton, Three Rivers, TX 78071 | 2006-01-30 |
| 1083092803 | Premier Home Health Solutions Inc | Home Health | 649 E 12 Mile Rd, Madison Heights, MI 78071 | 2015-05-13 |
| 1649532029 | Holly Christine Rainer | Nurse Practitioner | 105 E Thornton, Three Rivers, TX 78071 | 2012-06-12 |
| Find all providers in zip 78071 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043582224 | Three Rivers Health System, Inc | Clinic/Center | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2012-02-02 |
| 1013289297 | Three Rivers Health System, Inc | Clinic/Center | 721 6th Ave, Suite A, Three Rivers, MI 49093-8302 | 2012-02-02 |
| 1518288265 | Three Rivers Health | Clinic/Center | 711 S Health Pkwy, Suite 1, Three Rivers, MI 49093-9387 | 2010-06-17 |
| 1316099302 | Promed Healthcare | Clinic/Center | 1241 W Broadway St, Three Rivers, MI 49093-8319 | 2007-01-18 |
| 1114902756 | Three Rivers Health Authority | Clinic/Center | 721 6th Ave, Suite A, Three Rivers, MI 49093-9387 | 2005-12-07 |
| 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 | ||||
| City | THREE RIVERS |
| Zip Code | 78071 |
Please comment or provide details below to improve the information on JOURDANTON HOSPITAL CORPORATION.
| 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.