ROCKDALE BLACKHAWK LLC NPI 1407072358

NPI Information

NPI: 1407072358
Provider Name: ROCKDALE BLACKHAWK LLC

Doing Business As: LITTLE RIVER HEALTHCARE CAMERON CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
708 N CROCKETT AVE
CAMERON, TX
ZIP 76520
Phone: (254) 697-6554
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ROCKDALE BLACKHAWK LLC is a rural health clinic center in Cameron, TX. ROCKDALE BLACKHAWK LLC NPI is 1407072358. The provider is registered as an organization entity type.
The provider Is Doing Business As Little River Healthcare Cameron Clinic.

The provider's business location address is:

708 N CROCKETT AVE
CAMERON, TX
ZIP 76520-551
Phone: (254) 697-6554
Fax: (254) 697-6643

The provider's authorized official is Jeffrey P Madison .
The authorized official title is Ceo and has the following contact phone number (512) 446-4500.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 2/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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