CITIZENS MEDICAL CENTER COUNTY OF VICTORIA (NPI# 1740689066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740689066 |
| Entity Type | Organization |
| Organization Name | CITIZENS MEDICAL CENTER COUNTY OF VICTORIA |
| Practice Address |
2806 Real St Austin TX 78722-1715 |
| Mailing Address |
2701 Hospital Dr Victoria TX 77901-5748 |
| Practice Telephone | 5124741411 |
| Practice Fax Number | 5124745401 |
| 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 | 4781 | 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 |
| 1588063804 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 | 2014-08-22 |
| 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 |
| 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 |
2806 REAL ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78722-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457316176 | Oakbend Medical Center | Nursing Facility/Intermediate Care Facility | 2806 Real St, Austin, TX 78722-1715 | 2006-04-18 |
| 1225518814 | Sulekha Mayruth Maxfield Moler | Speech-Language Pathologist | 2806 Real St, Austin, TX 78722-1715 | 2018-08-14 |
| 1407336001 | Joshua Heibel | Physical Therapy Assistant | 2806 Real St, Austin, TX 78722-1715 | 2018-08-14 |
| 1407349699 | Regency Ihs of Heritage Park LLC | Nursing Facility/Intermediate Care Facility | 2806 Real St, Austin, TX 78722-1715 | 2018-06-12 |
| 1831368703 | Senior Connections of Texas, Pllc | Psychologist | 2806 Real St, Austin, TX 78722-1715 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806855 | Frontage Rsvs Pllc | Dentist | Ste. A1, 3909 N Interstate 35 Frontage Rd, Austin, TX 78722 | 2019-02-08 |
| 1649712035 | Jennifer Mcadams | Psychologist | 4207 Bradwood Rd, Austin, TX 78722 | 2016-11-16 |
| 1417362724 | Adcctx | Alzheimer Center (Dementia Center) | 4605 N 35 Hwy, Austin, TX 78722 | 2014-06-25 |
| 1821376989 | Angela Christine Desantis | Obstetrics & Gynecology | 2909 N I-35 Service Rd, Austin, TX 78722 | 2011-07-23 |
| 1457514556 | Rusty J Roberts | Chiropractor | 3823 Airport Blvd, Ste A4, Austin, TX 78722 | 2008-07-08 |
| 1962618207 | Brian Eugene Labombard | Dentist | 3851 Airport Blvd Ste#105, Austin, TX 78722 | 2007-05-15 |
| 1427193754 | Nicole Chicoine Edwards | Chiropractor | 2005 Airport Blvd, Austin, TX 78722 | 2007-02-21 |
| 1073622528 | Louis Paul Appel | Pediatrics | 2909 North Ih 35, Austin, TX 78722 | 2006-08-29 |
| 1740374347 | Beatriz Canas Smith | Clinical Nurse Specialist | 2909 N Ih 35, Austin, TX 78722 | 2006-10-03 |
| 1659721058 | Yellow Chair Counseling | Social Worker | 4315 Airport Blvd, Suite B, Austin, TX 78722-1005 | 2016-06-16 |
| Find all providers in zip 78722 | ||||
| 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 |
|---|---|---|---|---|
| 1982256285 | Center At Parmer, LLC | Skilled Nursing Facility | 13800 N Fm 620 Rd # Sb, Austin, TX 78717-1126 | 2019-07-16 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1912305277 | Riverside Scc LLC | Skilled Nursing Facility | 6801 E Riverside Dr, Austin, TX 78741-6633 | 2014-12-18 |
| 1568884773 | Legend Oaks - Austin, LLC | Skilled Nursing Facility | 11020 Dessau Rd, Austin, TX 78754-2053 | 2014-01-08 |
| 1366716516 | John A Luker Md Pa | Skilled Nursing Facility | 4029 S Capital of Texas Hwy Ste 115, Austin, TX 78704-7920 | 2012-03-06 |
| 1841567435 | Kaleb Healthcare Services,inc. | Skilled Nursing Facility | 12318 Thompkins Dr, Austin, TX 78753-7016 | 2011-11-26 |
| 1407157555 | Onion Creek Scc LLC | Skilled Nursing Facility | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 | 2010-11-05 |
| 1477879401 | Phcc-brodie Ranch Rehabilitation & Health Care Center, LLC | Skilled Nursing Facility | 2101 Frate Barker Road, Austin, TX 78748-3614 | 2010-04-15 |
| 1588894596 | Phcc-riverside Rehabilitation and Health Care Center, LLC | Skilled Nursing Facility | 6801 E. Riverside Dr., Austin, TX 78741-3051 | 2009-07-24 |
| 1053547463 | Mason Dessau Op LLC | Skilled Nursing Facility | 11020 Dessau Road, Austin, TX 78754-2053 | 2009-06-01 |
| Find all providers in AUSTIN | ||||
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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.