Dewitt Medical District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DEWITT MEDICAL DISTRICT

Doing business as

Stockdale Residence and Rehabilitation Center

Practice address

300 W Salmon St
Stockdale, TX 78160-5907

Phone

(830) 996-3721

Fax

(830) 996-3355

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By 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

Greg Pritchett

Title

Cfo

Phone

(361) 275-0504

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• STOCKDALE RESIDENCE AND REHABILITATION CENTER Doing business as

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1912306309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SALMON ST",
            "city": "STOCKDALE",
            "state": "TX",
            "postal_code": "781605907",
            "telephone_number": "830-996-3721",
            "fax_number": "830-996-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SALMON ST",
            "city": "STOCKDALE",
            "state": "TX",
            "postal_code": "781605907",
            "telephone_number": "830-996-3721",
            "fax_number": "830-996-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT MEDICAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "PRITCHETT",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "361-275-0504"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004277",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STOCKDALE RESIDENCE AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Living Technologies Inc (Stockdale Nursing Center)
• Daryl C Currier, M.D.
• Daryl C Currier MD PA (Stockdale Family Medical Center)
• James Scott Dukas, MPAS, P.A.-C
• Dunn Pharmacy Inc.
• Alice Finegan, NP
• Elizebeth Foreman
• Emma Gawlik

• Skilled Nursing Facility in Stockdale, TX
• Providers in Stockdale, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.