Active NPI
JC-PC, Inc
Doing business as Cameron Nursing and Rehab
- Skilled Nursing Facility
- Cameron, TX
National Provider Identifier
1841621026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 136902
- Legal business name
- JC-PC, INC
- Doing business as
- Cameron Nursing and Rehab
- Practice address
- 2202 N Travis Ave
Cameron, TX 76520-1665 - Phone
- (254) 697-6564
- NPI assigned
- Dec 12, 2013
- Last updated
- Dec 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James D Camp
- Title
- Pres., JC-PC,Inc
- Phone
- (254) 697-6564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 136902 | TX | Primary |
Addresses
Primary practice location
2202 N Travis Ave
Cameron, TX 76520-1665
Mailing address
PO Box 795
Cameron, TX 76520-0795
Phone (254) 697-8455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000414003 | Medicaid | TX |
Other names 1
- Cameron Nursing and Rehab
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386806400000",
"number": "1841621026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 795",
"city": "CAMERON",
"state": "TX",
"postal_code": "765200795",
"telephone_number": "254-697-8455",
"fax_number": "254-697-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 N TRAVIS AVE",
"city": "CAMERON",
"state": "TX",
"postal_code": "765201665",
"telephone_number": "254-697-6564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JC-PC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-12",
"last_updated": "2013-12-12",
"status": "A",
"authorized_official_last_name": "CAMP",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRES., JC-PC,INC",
"authorized_official_telephone_number": "254-697-6564",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "136902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000414003",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cameron Nursing and Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cameron, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.