Organization Active NPI

JC-PC, Inc

Doing business as Cameron Nursing and Rehab

  • Skilled Nursing Facility
  • Cameron, TX
National Provider Identifier
1841621026
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
136902 Issued in TX
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000414003MedicaidTX

Other names 1

  • Cameron Nursing and Rehab Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.