Organization Active NPI

Winnie Community Hospital LLC

  • Radiology Clinic/Center
  • Port Arthur, TX
National Provider Identifier
1558836247
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
WINNIE COMMUNITY HOSPITAL LLC
Doing business as
RICELAND DIAGNOSTIC HEALTH
Practice address
3445 Regional Dr
Port Arthur, TX 77642-8063
Phone
(409) 729-2299
NPI assigned
Oct 9, 2018
Organization subpart
Yes
Parent organization
WINNIE COMMUNITY HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Lorrie C Cook
Title
Contract Manager/Credentialing
Phone
(318) 614-2241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

3445 Regional Dr
Port Arthur, TX 77642-8063

Mailing address

538 Broadway
Winnie, TX 77665-7600
Phone (409) 296-6000

Other identifiers 1

IdentifierTypeStateIssuer
261QR0200XOtherTXTAXONOMY CODE

Other names 1

  • RICELAND DIAGNOSTIC HEALTH Doing business as

National Provider Directory

National Provider Directory
Part of
Winnie Community Hospital LLC

Locations

3445 Regional Dr
Port Arthur, TX 77642
Phone (409) 626-3680

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1558836247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 BROADWAY",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776657600",
            "telephone_number": "409-296-6000",
            "fax_number": "409-296-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 REGIONAL DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428063",
            "telephone_number": "409-729-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNIE COMMUNITY HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINNIE COMMUNITY HOSPITAL LLC",
        "enumeration_date": "2018-10-09",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CONTRACT MANAGER/CREDENTIALING",
        "authorized_official_telephone_number": "318-614-2241"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "261QR0200X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICELAND DIAGNOSTIC HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RICELAND DIAGNOSTIC HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.