SAN BENITO HEALTHCARE 1, LLC (NPI# 1336100429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336100429 |
| Entity Type | Organization |
| Organization Name | SAN BENITO HEALTHCARE 1, LLC |
| Other Organization Name | DOLLY VINSANT MEMORIAL HOSPITAL |
| Practice Address |
400 E Hwy 77 San Benito TX 78586-5310 |
| Mailing Address |
400 E Hwy 77 P.o. Box 42 San Benito TX 78586-5310 |
| Practice Telephone | 9563655200 |
| Practice Fax Number | 9563655251 |
| Mailing Telephone | 9563655200 |
| Mailing Fax Number | 9563655251 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | IGOR KOZLIK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9563655236 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 000245 | TX | Hospitals |
| Other Name | Type Code |
|---|---|
| Dolly Vinsant Memorial Hospital | Doing Business As Name - Organization |
| Street Address |
400 E HWY 77 |
| City | SAN BENITO |
| State | TX |
| Zip Code | 78586-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903542 | Ana Cecilia Santana | Counselor | 401 E. Business Hwy 77, San Benito, TX 78586 | 2019-10-11 |
| 1629636519 | Jodie Bulnes | Social Worker | 2310 W. Business Hwy 77, San Benito, TX 78586 | 2019-06-05 |
| 1730651225 | Alma De La Garza | Licensed Vocational Nurse | 24369 Resaca Llena Drive, San Benito, TX 78586 | 2018-12-20 |
| 1144719428 | Fernando Vasquez Jr. | Physician Assistant | 400 Us-77 Bus, San Benito, TX 78586 | 2018-05-02 |
| 1447660048 | Rodeo Dental & Orthodontics | Dentist | 1141 Us Business 77, Ste G, San Benito, TX 78586 | 2014-05-05 |
| 1528309044 | Sergio De La Garza | Pharmacist | 1095 W. Business 77, San Benito, TX 78586 | 2013-03-07 |
| 1255692489 | Priscilla Sustaita | Speech-Language Pathologist | 935 S. Travis Rd., San Benito, TX 78586 | 2012-06-05 |
| 1740572148 | Infinity Rehab Services, LLC | Occupational Therapist | 115 N Williams Road, Ste. A, San Benito, TX 78586 | 2011-05-04 |
| 1346556305 | Deborah Gallaga | Pharmacist | 1095 W Highway 77, San Benito, TX 78586 | 2010-08-27 |
| 1811201478 | Pete Martinez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26619 Line G Road, San Benito, TX 78586 | 2010-08-05 |
| Find all providers in zip 78586 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233785 | Hendrick Medical Center Brownwood | General Acute Care Hospital | 1501 Burnett Rd, Brownwood, TX 76801-8520 | 2020-07-29 |
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
| 1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
| 1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
| 1841844735 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 806 Cupples Rd, San Antonio, TX 78237-4410 | 2019-07-29 |
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1669954194 | Southcross Hospital LLC | General Acute Care Hospital | 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 | 2018-08-31 |
| 1356822167 | Stat Emergency Center of Del Rio LLC | General Acute Care Hospital | 2600 Veterans Blvd, Del Rio, TX 78840-3108 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
| City | SAN BENITO |
| Zip Code | 78586 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.