CITIZENS MEDICAL CENTER COUNTY OF VICTORIA (NPI# 1669871984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669871984 |
| Entity Type | Organization |
| Organization Name | CITIZENS MEDICAL CENTER COUNTY OF VICTORIA |
| Practice Address |
1373 N Avenue C Elgin TX 78621-1528 |
| Mailing Address |
2701 Hospital Dr Victoria TX 77901-5748 |
| Practice Telephone | 5122852457 |
| Practice Fax Number | 5122852459 |
| Mailing Telephone | 3615739181 |
| Mailing Fax Number | 3615725126 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | MR. STEPHEN R THAMES (CEO) |
| Authorized Official Telephone | 3615739181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 5517 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427106103 | Citizens Medical Center County of Victoria | Home Health | 2710 Hospital Dr Ste 202, Victoria, TX 77901-5743 | 2007-01-08 |
| 1396145587 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2014-08-26 |
| 1588063804 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 | 2014-08-22 |
| 1295134526 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 169 Medical Dr, Pearsall, TX 78061-6604 | 2014-08-22 |
| 1245639566 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2014-08-22 |
| 1326447640 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 9801 S 1st St, Austin, TX 78748-6760 | 2014-08-22 |
| 1942609268 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 5301 Duval Rd, Austin, TX 78727-6618 | 2014-08-22 |
| 1740689066 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 2806 Real St, Austin, TX 78722-1715 | 2014-08-22 |
| 1255730578 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 2735 Airline Rd, Corpus Christi, TX 78414-3306 | 2014-08-22 |
| 1902227747 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 101 South Lancaster, Moulton, TX 77975-0120 | 2013-12-20 |
| Street Address |
1373 N AVENUE C |
| City | ELGIN |
| State | TX |
| Zip Code | 78621-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235318338 | Smithville Hospital Authority | Nursing Facility/Intermediate Care Facility | 1373 N Avenue C, Elgin, TX 78621-1528 | 2007-10-25 |
| 1144700774 | Ruthie Michelle North | Physical Therapy Assistant | 1373 N Avenue C, Elgin, TX 78621-1528 | 2018-08-14 |
| 1013496686 | Ceara Rose Edwards | Occupational Therapy Assistant | 1373 N Avenue C, Elgin, TX 78621-1528 | 2018-08-14 |
| 1568941136 | Brandon Yates | Physical Therapy Assistant | 1373 N Avenue C, Elgin, TX 78621-1528 | 2018-08-14 |
| 1851870489 | Tyler Bryan Avey | Occupational Therapy Assistant | 1373 N Avenue C, Elgin, TX 78621-1528 | 2018-08-14 |
| 1548740178 | Allison Parks | Occupational Therapist | 1373 N Avenue C, Elgin, TX 78621-1528 | 2018-08-14 |
| 1942799747 | Austin Physiatry LLC | Physical Medicine & Rehabilitation | 1373 N Avenue C, Elgin, TX 78621-1528 | 2018-05-07 |
| 1255839502 | Cara Goble | Nurse Practitioner | 1373 N Avenue C, Elgin, TX 78621-1528 | 2018-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351192 | Elgin Cube Smiles Pllc | Dentist | 910 Lee Dildy Blvd #260, Elgin, TX 78621 | 2019-01-31 |
| 1114470267 | Michelle Hanh Ma | Optometrist | 1205 Highway 290 W, Elgin, TX 78621 | 2016-07-25 |
| 1336596493 | Anita Nepal Thapa | Dentist | 910 Lee Dildy Blvd, 260, Elgin, TX 78621 | 2016-05-18 |
| 1467826057 | Elgin Vision Pllc | Optometrist | 1205 W. Highway 290, Elgin, TX 78621 | 2015-11-19 |
| 1568868370 | Community Health Centers of South Central Texas Inc. | Clinic/Center | 711 W 10th St., Elgin, TX 78621 | 2014-11-06 |
| 1477826220 | Kimberly A Watts | Counselor | 509 N Highway 95, Elgin, TX 78621 | 2012-02-09 |
| 1396950655 | Robert Gerard Duhon | Acupuncturist | 1312 Hwy 290 W, Elgin, TX 78621 | 2007-05-11 |
| 1669598363 | Mary Forrest-wright | Counselor | 1501 Highway 290 W Ofc 1340, Elgin, TX 78621 | 2007-03-22 |
| 1811085350 | Carl Herring | Dentist | 306 N Hwy 95, Elgin, TX 78621 | 2006-10-10 |
| 1467555086 | Randy M Robertson | Dentist | 1309 N Ave C, Elgin, TX 78621 | 2006-09-07 |
| Find all providers in zip 78621 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184146920 | Avondale Estates of Elgin LLC | Skilled Nursing Facility | 1760 Capital St, Elgin, IL 60124-7890 | 2017-07-13 |
| 1114479813 | Midwest Health Professionals | Skilled Nursing Facility | 891 W Chicago St, Elgin, IL 60123-6259 | 2016-10-28 |
| 1073970299 | Deisy Palomar | Skilled Nursing Facility | 788 Hiawatha Dr, Elgin, IL 60120-3126 | 2016-01-19 |
| 1033588322 | Ph Elgin, LLC | Skilled Nursing Facility | 1754 Capital Street, Elgin, IL 60124 | 2015-09-17 |
| 1629165915 | Jacobson Memorial Hospital Care Center | Skilled Nursing Facility | 601 E Street N, Elgin, ND 58533 | 2006-10-06 |
| 1336191147 | Sherman West Court | Skilled Nursing Facility | 1950 Larkin Ave, Elgin, IL 60123-5843 | 2006-05-17 |
| 1033110903 | Asta Care Center of Elgin LLC | Skilled Nursing Facility | 134 N Mclean Blvd, Elgin, IL 60123-5169 | 2005-08-02 |
| 1447255849 | Maplewood Care, Inc. | Skilled Nursing Facility | 50 N Jane Dr, Elgin, IL 60123-5118 | 2005-06-14 |
| 1619456670 | Elgin Skilled Nursing Facility LLC | Skilled Nursing Facility | 1950 Larkin Ave, Elgin, IL 60123-5843 | 2018-08-10 |
| 1366985087 | Elgin Nh LLC | Skilled Nursing Facility | 2355 Royal Blvd, Elgin, IL 60123-4716 | 2016-11-29 |
| Find all providers in ELGIN | ||||
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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.