Active NPI
Ilesheim Health Clinic
- Pediatric Skilled Nursing Facility
- Edinburg, TX
National Provider Identifier
1245326677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- 703449
- Legal business name
- ILESHEIM HEALTH CLINIC
- Practice address
- 1202 E Champion St
Edinburg, TX 78539-4860 - Phone
- (956) 316-0171
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Luz Nancy Rodriguez, RN
- Title
- Registered Nurse
- Phone
- 499841834512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 703449 | TX | Primary |
Addresses
Primary practice location
1202 E Champion St
Edinburg, TX 78539-4860
Mailing address
CMR 416 Box 777
Apo, AE 09140
DE
Phone 499841834512
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245326677",
"addresses": [
{
"country_code": "DE",
"country_name": "Germany",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "CMR 416 BOX 777",
"city": "APO",
"state": "AE",
"postal_code": "09140",
"telephone_number": "499841834512",
"fax_number": "49984183847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 E CHAMPION ST",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785394860",
"telephone_number": "956-316-0171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILESHEIM HEALTH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "LUZ",
"authorized_official_middle_name": "NANCY",
"authorized_official_title_or_position": "REGISTERED NURSE",
"authorized_official_telephone_number": "499841834512",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "TX",
"license": "703449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.