ROCKDALE BLACKHAWK LLC (NPI# 1407072358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407072358 |
| Entity Type | Organization |
| Organization Name | ROCKDALE BLACKHAWK LLC |
| Other Organization Name | LITTLE RIVER HEALTHCARE CAMERON CLINIC |
| Practice Address |
708 N Crockett Ave Cameron TX 76520-2551 |
| Mailing Address |
Po Box 1010 Rockdale TX 76567-1010 |
| Practice Telephone | 2546976554 |
| Practice Fax Number | 2546976643 |
| Mailing Telephone | 5124464500 |
| Mailing Fax Number | 5124460084 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-02-11 |
| Authorized Official Name | JEFFREY P MADISON (CEO) |
| Authorized Official Telephone | 5124464500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Little River Healthcare Cameron Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073924932 | Rockdale Blackhawk LLC | Prosthetic/Orthotic Supplier | 1512 Leander Rd, Georgetown, TX 78628-8801 | 2014-05-14 |
| 1679904577 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2013-12-03 |
| 1174953467 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2013-11-22 |
| 1811339831 | Rockdale Blackhawk LLC | Prosthetic/Orthotic Supplier | 1904 Railroad St, Georgetown, TX 78626-7718 | 2013-07-18 |
| 1033483086 | Rockdale Blackhawk LLC | General Practice | 5656 Bee Cave Rd, Suite M-300, West Lake Hills, TX 78746-5280 | 2012-03-07 |
| 1245514975 | Rockdale Blackhawk LLC | Clinic/Center | 715 Discovery Blvd, Suite 102, Cedar Park, TX 78613-2287 | 2011-09-29 |
| 1831479682 | Rockdale Blackhawk LLC | Clinic/Center | 1528 Leander Rd, Georgetown, TX 78628-8801 | 2011-08-25 |
| 1295015055 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 | 2011-08-25 |
| 1083903843 | Rockdale Blackhawk LLC | Physiological Laboratory | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2011-04-01 |
| 1427353770 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 108, Bastrop, TX 78602-5156 | 2011-01-18 |
| Street Address |
708 N CROCKETT AVE |
| City | CAMERON |
| State | TX |
| Zip Code | 76520-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467675447 | American Medical Response of Texas Inc | Ambulance | 1501 N. Travis, Cameron, TX 76520 | 2007-04-10 |
| 1497849970 | Larry Scott Parker | Dentist | 201 No Fannin, Cameron, TX 76520 | 2006-10-02 |
| 1548367048 | Cvs Pharmacy Inc | Pharmacy | 1605 W 4th St, Suite 12, Cameron, TX 76520 | 2006-09-20 |
| 1457856775 | Cameron Opco LLC | Skilled Nursing Facility | 2202 N Travis Ave, Cameron, TX 76520 | 2018-03-28 |
| 1972515989 | Cam-col Partnership | Nursing Facility/Intermediate Care Facility | 2202 N Travis, Cameron, TX 76520-0795 | 2006-08-12 |
| 1871581439 | Winnie L. Nursing Facility | Skilled Nursing Facility | 2104 N Karnes Ave, Cameron, TX 76520-1055 | 2005-10-07 |
| 1689112377 | South Limestone Hospital District | Skilled Nursing Facility | 2104 N Karnes Ave, Cameron, TX 76520-1055 | 2017-02-02 |
| 1154607661 | Winnie L Ltc Partners, Inc. | Skilled Nursing Facility | 2104 N Karnes Ave, Cameron, TX 76520-1055 | 2011-10-28 |
| 1114161072 | Tricia Lynn Harwell | Speech-Language Pathologist | 2104 N Karnes Ave, Cameron, TX 76520-1055 | 2009-04-22 |
| 1174763676 | Dawn A. Hottinger | Occupational Therapy Assistant | 2104 N Karnes Ave, Cameron, TX 76520-1055 | 2009-02-24 |
| Find all providers in zip 76520 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396930335 | Calcasieu Cameron Hospital Service District | Clinic/Center | 6240 Gulf Beach Hwy, Cameron, LA 70631-4213 | 2007-09-12 |
| 1003821307 | Cameron Regional Medical Center Inc | Clinic/Center | 921 N Walnut St, Cameron, MO 64429-1722 | 2006-07-29 |
| 1003426875 | Milam Medical | Clinic/Center | 908 N Crockett Ave, Cameron, TX 76520-2560 | 2020-08-05 |
| 1558767301 | Little River Healthcare - Central Texas, LLC | Clinic/Center | 806 N Crockett Ave, Cameron, TX 76520-2553 | 2014-11-06 |
| 1710272307 | Frontier Hospitals, Inc. | Clinic/Center | 5360 W Creole Hwy, Cameron, LA 70631-5127 | 2011-06-13 |
| 1053556704 | Cameron Hospital Inc | Clinic/Center | 908 N Crockett Ave, Cameron, TX 76520-2560 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROCKDALE BLACKHAWK LLC.
| 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.