Active NPI
Citizens Medical Center County of Victoria
Doing business as Citizens Medical Center Skilled Nursing Unit
- Skilled Nursing Facility
- Victoria, TX
National Provider Identifier
1467515668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 000064
- Legal business name
- CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
- Doing business as
- Citizens Medical Center Skilled Nursing Unit
- Practice address
- 2701 Hospital Dr
Victoria, TX 77901-5748 - Phone
- (361) 573-9181
- Fax
- (361) 572-5126
- NPI assigned
- Dec 18, 2006
- Last updated
- Jan 12, 2010
- Organization subpart
- Yes
- Parent organization
- CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Brown
- Title
- Chief Executive Officer
- Phone
- (361) 572-5113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 000064 | TX | Primary |
Addresses
Primary practice location
2701 Hospital Dr
Victoria, TX 77901-5748
Mailing address
2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 573-9181
Other names 1
- Citizens Medical Center Skilled Nursing Unit
National Provider Directory
National Provider Directory- Part of
- John W Vaughn
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Southbrooke Manor Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Edna, TX
- NPI 1801217997
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263254400000",
"number": "1467515668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 HOSPITAL DR",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015748",
"telephone_number": "361-573-9181",
"fax_number": "361-572-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 HOSPITAL DR",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015748",
"telephone_number": "361-573-9181",
"fax_number": "361-572-5126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITIZENS MEDICAL CENTER COUNTY OF VICTORIA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITIZENS MEDICAL CENTER COUNTY OF VICTORIA",
"enumeration_date": "2006-12-18",
"last_updated": "2010-01-12",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "361-572-5113"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "000064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Citizens Medical Center Skilled Nursing Unit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Victoria, TX
- Citizen's Medical Center County of Victoria (Citizens Medical Professional)
- Citizen's Medical Center County of Victoria (Citizens Anesthesia Associates)
- Citizens Medical Center County of Victoria (Twin Pines Nursing and Rehabilitation)
- Citizens Medical Center County of Victoria
- Citizens Medical Center County of Victoria (Citizens Medical Center Home Health Agency)
- City of Victoria (Victoria EMS)
- Elizabeth Frances Clapp, AG-ACNP
- Kynsey Clark
- Claudia Amador, PLLC
- Andrew Charles Clemmons, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.