Active NPI
Oakbend Medical Center
- Skilled Nursing Facility
- Vidor, TX
National Provider Identifier
1770949455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 143202
- Legal business name
- OAKBEND MEDICAL CENTER
- Practice address
- 225 S Main St
Vidor, TX 77662-5745 - Phone
- (409) 769-3692
- Fax
- (409) 769-1390
- NPI assigned
- Jan 11, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Joseph Freudenberger
- Title
- Chief Executive Officer
- Phone
- (281) 341-4881
Corporate family (same tax ID) 36
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National Provider Directory
National Provider Directory- Tax ID family
- Polly Ryan Hospital
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 143202 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
225 S Main St
Vidor, TX 77662-5745
Mailing address
1705 Jackson St
Richmond, TX 77469-3246
Phone (281) 341-4881
Other names 1
NPPES NPI Registry- Oakwood Manor Nursing Home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2016.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452470400000",
"number": "1770949455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 JACKSON ST",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774693246",
"telephone_number": "281-341-4881",
"fax_number": "281-341-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S MAIN ST",
"city": "VIDOR",
"state": "TX",
"postal_code": "776625745",
"telephone_number": "409-769-3692",
"fax_number": "409-769-1390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKBEND MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-11",
"last_updated": "2016-01-11",
"status": "A",
"authorized_official_last_name": "FREUDENBERGER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "281-341-4881"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "143202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oakwood Manor Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vidor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.