Colorado Fayette Medical Center

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

000005 Issued in TX

Legal business name

COLORADO FAYETTE MEDICAL CENTER

Doing business as

Flatonia Community Clinic

Practice address

113 W South Main St
Flatonia, TX 78941-2665

Phone

(361) 865-3561

Fax

(361) 865-3435

NPI assigned

Feb 16, 2010

Last updated

May 5, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

COLORADO FAYETTE MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Shannon McBride

Title

Ceo

Phone

(979) 725-9531

Specialties & licenses 1

Addresses

Other names 1

• Flatonia Community Clinic Doing business as

Part of

Flatonia Community Clin

Locations

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1356663546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 909",
            "address_2": "113 W SOUTH MAIN STREET",
            "city": "FLATONIA",
            "state": "TX",
            "postal_code": "789412665",
            "telephone_number": "361-865-3561",
            "fax_number": "361-865-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W SOUTH MAIN ST",
            "city": "FLATONIA",
            "state": "TX",
            "postal_code": "789412665",
            "telephone_number": "361-865-3561",
            "fax_number": "361-865-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO FAYETTE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO FAYETTE MEDICAL CENTER",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-725-9531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TX",
            "license": "000005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flatonia Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Jean Bludau, PTA
• Marlene Bolton
• Allison Charanza
• Columbus Optical Company, LTD.
• Fayco Sport & Spine PLLC (FayCo Sport & Spine)
• Flatonia Independent School District
• Flatonia Oak Manor L.P.
• Aaron Gray, DPT

• Rural Acute Care Hospital in Flatonia, TX
• Providers in Flatonia, TX by specialty
• Rural Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.