Little River Healthcare

LBN: Rockdale Blackhawk Llc
Little River Healthcare is an health care organization with primary practice located at 1700 Brazos Ave , Rockdale TX 76567-2517. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Hospitals / Critical Access. Hospitals / Critical Access is 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 Ave Rockdale TX 76567-2517
Phone: (512) 446-4500
Fax: (512) 446-2063
Website:
Map and Directions
Authorized official contact:
Name: Madison, Jeffrey P
Phone: (512) 446-4500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Hospitals / Critical Access 282NC0060X 000369 Texas

Profile Details

NPI number 1306933692
LBN Legal business name Rockdale Blackhawk Llc
DBA Doing business as Little River Healthcare
Authorized official Madison, Jeffrey P
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Apr 2nd, 2012 - about 13 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 1306933692 NPPES
Texas Other DF5837 MEDICARE RAIL ROAD
Texas Other 00X082 MEDICARE RAIL ROAD
Texas MEDICAID 183086101 MEDICARE RAIL ROAD

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