LAVACA HOSPITAL DISTRICT (NPI# 1871555409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871555409 |
| Entity Type | Organization |
| Organization Name | LAVACA HOSPITAL DISTRICT |
| Other Organization Name | LAVACA FAMILY HEALTH CLINIC |
| Practice Address |
1406 N Texana St Hallettsville TX 77964-2009 |
| Practice Telephone | 3617981200 |
| Practice Fax Number | 3617983128 |
| Mailing Telephone | 3617981200 |
| Mailing Fax Number | 3617983128 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | JACK S BOWEN (ADMINISTRATOR) |
| Authorized Official Telephone | 3617983671 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 126884905 | 05 |
| Other Name | Type Code |
|---|---|
| Lavaca Family Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649233776 | Lavaca Hospital District | Medicare Defined Swing Bed Unit | 1400 N Texana St, Hallettsville, TX 77964-2021 | 2006-04-10 |
| 1992767511 | Lavaca Hospital District | General Acute Care Hospital | 1400 N Texana, Hallettsville, TX 77964-2021 | 2006-04-06 |
| 1245274471 | Lavaca Hospital District | Emergency Medicine | 1400 N Texana St, Hallettsville, TX 77964-2021 | 2006-06-16 |
| Street Address |
1406 N TEXANA ST |
| City | HALLETTSVILLE |
| State | TX |
| Zip Code | 77964-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599639 | Frank Saunders | Family Medicine | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2005-06-24 |
| 1295044550 | Kelly Renee Haas | Physician Assistant | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2010-10-04 |
| 1659680916 | Amanda Lee Kurtz | Physician Assistant | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2010-10-04 |
| 1518132711 | Angel Gonzalez | Internal Medicine | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2008-04-28 |
| 1225236532 | Benjamin Louis Psencik | Nurse Practitioner | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2007-07-07 |
| 1144366956 | Forrest Timothy Kroschel | Dentist | 1406 N Texana St, Suite F, Hallettsville, TX 77964-2021 | 2007-01-29 |
| 1174626386 | Kelly Matthew-gil | Podiatrist | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2006-09-06 |
| 1497764047 | Lauren Kelly Kutac | Nurse Practitioner | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2006-08-05 |
| 1770592313 | Carleton K Thompson | Internal Medicine | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2006-08-05 |
| 1699799452 | Susan L Kraemer | Family Medicine | 1406 N Texana St, Hallettsville, TX 77964-2021 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437583341 | Hopewell Staffing LLC Dba Quality Care Staffing | In Home Supportive Care | 904 D North Glendale St., Hallettsville, TX 77964 | 2013-08-27 |
| 1922330059 | Helping Hearts Sitter Service | In Home Supportive Care | 405b N Texana St, Hallettsville, TX 77964 | 2010-01-29 |
| 1801916663 | Brian Glen Popp | Pharmacist | 1905 County Road 177, Hallettsville, TX 77964 | 2007-03-29 |
| 1982778783 | David M Christie | Chiropractor | 1216 Us Hwy 77a So, Hallettsville, TX 77964 | 2006-11-20 |
| 1396399861 | Shelby Kotulek Freeland | Physician Assistant | 1400 N Texana St, Hallettsville, TX 77964 | 2019-08-01 |
| 1619038619 | Maurice Gilliam Wilkinson | Family Medicine | 1406 N Texana, Hallettsville, TX 77964-2021 | 2006-12-13 |
| 1649233776 | Lavaca Hospital District | Medicare Defined Swing Bed Unit | 1400 N Texana St, Hallettsville, TX 77964-2021 | 2006-04-10 |
| 1992767511 | Lavaca Hospital District | General Acute Care Hospital | 1400 N Texana, Hallettsville, TX 77964-2021 | 2006-04-06 |
| 1700414422 | Monica Griffin | Occupational Therapist | 1400 N Texana St, Hallettsville, TX 77964-2021 | 2020-03-29 |
| 1679927990 | Will Ibanga | Family Medicine | 1400 N Texana St, Hallettsville, TX 77964-2021 | 2016-04-22 |
| Find all providers in zip 77964 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
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| 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 | HALLETTSVILLE |
| Zip Code | 77964 |
Please comment or provide details below to improve the information on LAVACA HOSPITAL 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.