DEWEYVILLE RURAL HEALTH CLINIC LLC (NPI# 1992763684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992763684 |
| Entity Type | Organization |
| Organization Name | DEWEYVILLE RURAL HEALTH CLINIC LLC |
| Other Organization Name | DEWEYVILLE HEALTH CLINIC |
| Practice Address |
2493 State Highway 12 E Orange TX 77632-8426 |
| Practice Telephone | 4097467000 |
| Practice Fax Number | 4097467016 |
| Mailing Telephone | 4097467000 |
| Mailing Fax Number | 4097467016 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | MR. WILLIAM DAVID DUNN (OWNER) |
| Authorized Official Telephone | 4097467000 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
10-560939-6 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 170485001 | 05 |
| Other Name | Type Code |
|---|---|
| Deweyville Health Clinic | Doing Business As Name - Organization |
| Street Address |
2493 STATE HIGHWAY 12 E |
| City | ORANGE |
| State | TX |
| Zip Code | 77632-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609566 | William David Dunn Jr. | Nurse Practitioner | 2493 State Highway 12 E, Orange, TX 77632-8426 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205085164 | Dr. Hamid Reza Jalali, D.o., P.a. | General Practice | 11946 Hwy 62 North, Orange, TX 77632 | 2008-09-16 |
| 1831331669 | Darla Brister | Physical Therapist | 1504 Buckingham Dr, Orange, TX 77632-0425 | 2009-03-25 |
| 1932323094 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 1309 Nottingham Dr, Orange, TX 77632-0449 | 2007-04-12 |
| 1912304817 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1309 Nottingham Dr, Orange, TX 77632-0449 | 2014-11-21 |
| 1801819495 | Larry Al Wilson | Counselor | 2708 E Tanager Trl, Orange, TX 77632-0750 | 2006-07-25 |
| 1225219090 | Summit Clinical Services Pllc | Counselor | 2708 E Tanager Trl, Orange, TX 77632-0750 | 2007-11-20 |
| 1578847786 | Access Home Health Services | Home Health | 1810 W Luther Dr, Orange, TX 77632-1012 | 2011-10-06 |
| 1700179488 | Maria Elaline Hebert | Speech-Language Pathologist | 5723 Meeks Dr, Orange, TX 77632-1019 | 2011-05-27 |
| 1427605419 | Karen Marie Medlock | Social Worker | 10100 Fm 1130, Orange, TX 77632-1081 | 2019-08-23 |
| 1093958837 | Venkatesh C. S. Srinibasa Murphy | Speech-Language Pathologist | 1905 Thousand Oaks Dr, Orange, TX 77632-1214 | 2009-04-09 |
| Find all providers in zip 77632 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
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| 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 | ||||
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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.