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SMITHVILLE HOSPITAL AUTHORITY NPI 1861449092


NPI Information

NPI: 1861449092
Provider Name: SMITHVILLE HOSPITAL AUTHORITY

Doing Business As: RIVERBEND MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0909893

Address:
441 HIGHWAY 71 W
SUITE C
BASTROP, TX
ZIP 78602
Phone: (512) 304-0313
Get Directions

SMITHVILLE HOSPITAL AUTHORITY is a family medicine in Bastrop, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SMITHVILLE HOSPITAL AUTHORITY NPI is 1861449092. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverbend Medical Group.

The provider's business location address is:

441 HIGHWAY 71 W
SUITE C
BASTROP, TX
ZIP 78602-931
Phone: (512) 304-0313
Fax: (512) 304-0326

The provider's authorized official is Grady Hooper .
The authorized official title is Cheif Operating Officer and has the following contact phone number (512) 237-3214.

The CLIA number assigned to this NPI record is 45D0909893 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineK4693TEXASYes
2208000000XPediatricsL4729TEXASX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100W129MEDICAIDTEXAS

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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