# DALLAS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridgeview Rehabilitation and Skilled Nursing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790963130
- **Authorized official:** FREDERICK CERISE MD (PRESIDENT & CEO)
- **Authorized official phone:** (214) 590-8006

## Contact information

- **Practice address:** 206 WALLS DR, CLEBURNE, TX 76033-4045
- **Practice address phone:** (817) 645-0668
- **Practice address fax:** (817) 645-0720
- **Mailing address:** 206 WALLS DR, CLEBURNE, TX 76033-4045
- **Mailing address phone:** (817) 645-0668
- **Mailing address fax:** (972) 899-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 124941 | TX | Yes |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 03/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001021131 | — | TX |
| 01 | — | 199228101 | MEDICAID CO B TPI | TX |