Deweyville Health Clinic

LBN: Deweyville Rural Health Clinic Llc
Deweyville Health Clinic is an health care organization with primary practice located at 2493 State Highway 12 E , Orange TX 77632-8426. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Deweyville Rural Health Clinic Llc can be contacted via phone (409) 746-7000, or through Dunn, William David via phone (409) 746-7000.

Contact Information

Primary practice address
2493 State Highway 12 E Orange TX 77632-8426
Phone: (409) 746-7000
Fax: (409) 746-7016
Website:
Map and Directions
Authorized official contact:
Name: Dunn, William David Family Nurse Practitioner (FNP)
Phone: (409) 746-7000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 10-560939-6 Texas

Profile Details

NPI number 1992763684
LBN Legal business name Deweyville Rural Health Clinic Llc
DBA Doing business as Deweyville Health Clinic
Authorized official Dunn, William David Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Jul 21st, 2008 - about 17 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 1992763684 NPPES
Texas MEDICAID 170485001

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