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WINNIE COMMUNITY HOSPITAL LLC NPI 1871965913


NPI Information

NPI: 1871965913
Provider Name: WINNIE COMMUNITY HOSPITAL, LLC

Doing Business As: RICELAND DIAGNOSTIC IMAGING CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 45D1085258

Address:
390 N 11TH ST
SUITE 100
BEAUMONT, TX
ZIP 77702
Phone: (409) 981-5500
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WINNIE COMMUNITY HOSPITAL, LLC is a radiology clinic center in Beaumont, TX. WINNIE COMMUNITY HOSPITAL, LLC NPI is 1871965913. The provider is registered as an organization entity type.
The provider Is Doing Business As Riceland Diagnostic Imaging Center.

The provider's business location address is:

390 N 11TH ST
SUITE 100
BEAUMONT, TX
ZIP 77702-802
Phone: (409) 981-5500
Fax: (409) 981-5501

The provider's authorized official is M. Tahir Javed .
The authorized official title is Owner/president and has the following contact phone number (409) 840-9601.

The CLIA number assigned to this NPI record is 45D1085258 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2015 and was last updated on 9/29/2022.


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
1261QR0200XClinic/CenterRadiologyYes

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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