Fredericksburg Ltc

LBN: Fredericksburg Ltc
Fredericksburg Ltc is an health care organization with primary practice located at 707 N Llano St Suite B, Fredericksburg TX 78624-3943. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Fredericksburg Ltc can be contacted via phone (830) 997-5800, or through Roberts, Whitney via phone (830) 997-5800.

Contact Information

Primary practice address
707 N Llano St Suite B Fredericksburg TX 78624-3943
Phone: (830) 997-5800
Fax: (830) 997-0068
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Whitney
Phone: (830) 997-5800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 26428 Texas

Profile Details

NPI number 1174767362
LBN Legal business name Fredericksburg Ltc
DBA Doing business as Fredericksburg Ltc
Authorized official Roberts, Whitney
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2009
Last updated Mar 1st, 2017 - about 7 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 1174767362 NPPES
Other 2120084 PK
MEDICAID 350224 PK

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