Rockdale Blackhawk, LLC

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

Legal business name

ROCKDALE BLACKHAWK, LLC

Doing business as

Little River Healthcare

Practice address

1700 Brazos Ave
Rockdale, TX 76567-2517

Phone

(512) 446-4500

Fax

(512) 446-0084

NPI assigned

May 7, 2007

Last updated

Feb 11, 2015By 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

Jeff P Madison

Title

Ceo

Phone

(512) 446-4500

Specialties & licenses 1

Addresses

Other names 1

• Little River Healthcare Doing business as

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1811100076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765671010",
            "telephone_number": "512-446-4500",
            "fax_number": "512-446-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BRAZOS AVE",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765672517",
            "telephone_number": "512-446-4500",
            "fax_number": "512-446-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKDALE BLACKHAWK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-446-4500"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little River Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rockdale Blackhawk LLC (Little River Healthcare)
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• Rockdale Blackhawk LLC (Little River Healthcare Rockdale Clinic)
• Rockdale Blackhawk, LLC (LIttle River Healthcare - Family Care Center)
• Rockdale Dental PLLC
• Rockdale Hospital District
• Rockdale Independent School District
• Rockdale Regional Home Health Agency
• Rockdale SNF LLC (Rockdale Estates and Rehabilitation)

• Critical Access Hospital in Rockdale, TX
• Providers in Rockdale, TX by specialty
• Critical Access Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.