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ROCKDALE BLACKHAWK LLC NPI 1174953467


NPI Information

NPI: 1174953467
Provider Name: ROCKDALE BLACKHAWK LLC

Doing Business As: LITTLE RIVER HEALTHCARE KING'S DAUGHTERS CLINIC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1717 SW H K DODGEN LOOP
TEMPLE, TX
ZIP 76502
Phone: (254) 298-2599
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ROCKDALE BLACKHAWK LLC is a durable medical equipment medical supplies in Temple, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ROCKDALE BLACKHAWK LLC NPI is 1174953467. The provider is registered as an organization entity type.
The provider Is Doing Business As Little River Healthcare King's Daughters Clinic.

The provider's business location address is:

1717 SW H K DODGEN LOOP
TEMPLE, TX
ZIP 76502-838
Phone: (254) 298-2599

The provider's authorized official is Jeffrey P Madison .
The authorized official title is Ceo and has the following contact phone number (512) 446-4500.

The enumeration date for this NPI number is 11/22/2013 and was last updated on 5/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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