Williamsburg Village Healthcare Campus

LBN: Dallas County Hospital District
Williamsburg Village Healthcare Campus is an health care organization with primary practice located at 940 York Dr , Desoto TX 75115-2042. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Dallas County Hospital District can be contacted via phone (972) 572-6200, or through Cerise, Frederick via phone (214) 590-8006.

Contact Information

Primary practice address
940 York Dr Desoto TX 75115-2042
Fax: (972) 572-9365
Website:
Authorized official contact:
Name: Cerise, Frederick Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 112098 Texas

Profile Details

NPI number 1629062369
LBN Legal business name Dallas County Hospital District
DBA Doing business as Williamsburg Village Healthcare Campus
Authorized official Cerise, Frederick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Jun 30th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629062369 NPPES
Texas Other 164055901 MEDICAID CO B
Texas MEDICAID 001026661 MEDICAID CO B
Texas MEDICAID 001004882 MEDICAID CO B

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