NPIMap

Organization Active NPI

Victoria County

  • Public Health or Welfare Agency
  • Victoria, TX
National Provider Identifier
1902857543
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
VICTORIA COUNTY
Practice address
2805 N Navarro St
Suite 102
Victoria, TX 77901-3946
Phone
(361) 578-6281
Fax
(361) 485-9062
NPI assigned
May 15, 2006
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Mrs. Kimberly A. Green, RN
Title
Assistant Director of Health Depart
Phone
(361) 578-6281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

2805 N Navarro St
Suite 102
Victoria, TX 77901-3946

Mailing address

2805 N Navarro St
Suite 102
Victoria, TX 77901-3946
Phone (361) 578-6281

Other identifiers 1

IdentifierTypeStateIssuer
1209793-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040517000652 TX Part B Supplier - Mass Immunization (Roster Biller Only) 6901896331 Practice locations: Victoria, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Victoria City Co HLTH D3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

115 N Bridge St
Ste 241
Victoria, TX 77901

2805 N Navarro St
Ste 102
Victoria, TX 77901
Phone (361) 578-6281

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Citizens Medical Center Home Health AgencyVictoria, TX, CCN 457024 Home health agency 5% Or Greater Direct Ownership Interest (100%) May 9, 1967

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1902857543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 N NAVARRO ST",
            "address_2": "SUITE 102",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013946",
            "telephone_number": "361-578-6281",
            "fax_number": "361-485-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 N NAVARRO ST",
            "address_2": "SUITE 102",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013946",
            "telephone_number": "361-578-6281",
            "fax_number": "361-485-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR OF HEALTH DEPART",
        "authorized_official_telephone_number": "361-578-6281",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1209793-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.