Austwell-Tivoli Medical Clinic

LBN: Refugio County Memorial Hospital District
Austwell-Tivoli Medical Clinic is an health care organization with primary practice located at 106 W Wilson , Tivoli TX 77990-5802. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Critical Access Hospital, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Refugio County Memorial Hospital District can be contacted via phone (361) 286-0115, or through Wasicek, Corey via phone (361) 526-2321.

Contact Information

Primary practice address
106 W Wilson Tivoli TX 77990-5802
Phone: (361) 286-0115
Fax: (361) 286-0256
Website:
Map and Directions
Authorized official contact:
Name: Wasicek, Corey
Phone: (361) 526-2321

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X Texas
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1427005578
LBN Legal business name Refugio County Memorial Hospital District
DBA Doing business as Austwell-Tivoli Medical Clinic
Authorized official Wasicek, Corey
Entity Organization
Organization subpart 1 Yes
Enumeration date May 27th, 2006
Last updated Jun 12th, 2024 - about last year

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 1427005578 NPPES
Texas MEDICAID 0636243-01
Texas MEDICAID 063624302

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