Cambridge LTC Partners, Inc.
Organization Active NPI Skilled Nursing Facility · Dimmitt, TX
NPI 1205017472 · NPPES record last updated Jan 12, 2015
Key facts
- NPI
- 1205017472
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 122924 (TX)
- Legal business name
- CAMBRIDGE LTC PARTNERS, INC.
- Practice address
- 1621 Butler Dr
Dimmitt, TX 79027-2701 - Phone
- (806) 647-3117
- Fax
- (806) 647-5212
- NPI assigned
- Nov 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Louis Frederick Nicholson III, LNFA
- Title
- President
- Phone
- (832) 489-9944
Practitioners 4
-
Skylar Kirk Bizzell, M.D.
-
Gary Randall Hardee, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 122924 | TX | Yes |
Addresses
Primary practice location
1621 Butler Dr
Dimmitt, TX 79027-2701
Mailing address
1621 Butler Dr
Dimmitt, TX 79027-2701
Phone (806) 647-3117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004948 | Medicaid | TX | |
| 001015400 | Medicaid | TX |
Other providers in Dimmitt, TX
- Robert Adams
- Athena Leasing, LLC
- Peggy Birkenfeld
- Castro County Comprehensive Education Ssa
- Castro County Hospital District
- Castro County Hospital District
- Castro County Hospital District
- Castro County Hospital District
All providers in Dimmitt, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.