Victoria County
Organization Active NPI Public Health or Welfare Agency · Victoria, TX
NPI 1033625975 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1033625975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- VICTORIA COUNTY
- Practice address
- 2805 N Navarro St Ste 102
Victoria, TX 77901-3946 - Phone
- (361) 578-6281
- Fax
- (832) 202-0250
- NPI assigned
- Dec 14, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- VICTORIA COUNTY
Authorized official
- Name
- Delilah Perez
- Title
- Assistant Director
- Phone
- (361) 578-6281
Parent organization (reported in NPPES) 1
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Member organizations 1
Practitioners 3
-
Fernando Garcia, M.D.
-
Thomas Adam Kaspar, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Citizens Medical Center Home Health Agency |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | May 9, 1967 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180409002385 | TX | Part B Supplier - Clinic/Group Practice | 6901896331 |
Receives reassigned benefits from 1 practitioner Practice locations: Victoria, TX |
National Provider Directory
- Tax ID family
- Victoria County Health
- Part of
- Victoria County Health
Locations
2805 N Navarro St
Ste 104
Victoria, TX 77901
Phone 36157862813202
2807 N Ben Wilson St
Victoria, TX 77901
Phone (361) 579-1305
2805 N Navarro St
Ste 102
Victoria, TX 77901
Phone (361) 578-6281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician |
2083P0901X | |||
| Public Health or Welfare Agency | 251K00000X | Yes | ||
| Health Service Clinic/Center | 261QH0100X | |||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
2805 N Navarro St Ste 102
Victoria, TX 77901-3946
Mailing address
2805 N Navarro St Ste 104
Victoria, TX 77901-3946
Phone (361) 578-6281
Other names
- HARP of Victoria
Other providers in Victoria, TX
- Victoria Assisted Living, LTD.
- Victoria Autism and Behavior Associates LLC
- Victoria Cardiovascular Imaging LP
- Victoria Chiropractic Clinic PLLC
- Victoria City-County Health Department
- Victoria County
- Victoria Dental Assoicates
- Victoria Dentistry, PLLC
- Victoria Dermatology, PA
- Victoria Ed
All providers in Victoria, TX · Public Health or Welfare Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.