Little River Healthcare - Family Care Center

LBN: Rockdale Blackhawk, Llc
Little River Healthcare - Family Care Center is an health care organization with primary practice located at 1700 Brazos Suite A, B And C, Rockdale TX 76567. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Rockdale Blackhawk, Llc can be contacted via phone (512) 446-4500, or through Madison, Jeffrey P via phone (512) 446-4500.

Contact Information

Primary practice address
1700 Brazos Suite A, B And C Rockdale TX 76567
Phone: (512) 446-4500
Fax: (512) 446-0084
Website:
Map and Directions
Authorized official contact:
Name: Madison, Jeffrey P
Phone: (512) 446-4500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1285911123
LBN Legal business name Rockdale Blackhawk, Llc
DBA Doing business as Little River Healthcare - Family Care Center
Authorized official Madison, Jeffrey P
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 7th, 2011
Last updated Apr 9th, 2015 - about 10 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 1285911123 NPPES
Texas MEDICAID 321720001

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