Dewitt Medical District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DEWITT MEDICAL DISTRICT

Doing business as

Victoria Residence and Rehabilitation Center

Practice address

114 Medical Dr
Victoria, TX 77904-3101

Phone

(361) 576-6128

Fax

(361) 576-6563

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greg Pritchett

Title

Cfo

Phone

(361) 275-0504

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VICTORIA RESIDENCE AND REHABILITATION CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1285033670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MEDICAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043101",
            "telephone_number": "361-576-6128",
            "fax_number": "361-576-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MEDICAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043101",
            "telephone_number": "361-576-6128",
            "fax_number": "361-576-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT MEDICAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "PRITCHETT",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "361-275-0504"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005209",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORIA RESIDENCE AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audrey Lynn Despain, SLP
• Detar Hospital
• Detar Hospital Navarro
• Devereux Foundation (Devereux Texas Treatment Network)
• George C Dewey, M.D.
• Yogesh C Dhingra, MD
• Diagnostic Foot Specialists
• Diagnostic Foot Specialists of Victoria Inc
• Diagnostic Imaging Associates PA
• Eliana Diaz

• Skilled Nursing Facility in Victoria, TX
• Providers in Victoria, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.