Organization
ROCKDALE BLACKHAWK LLC
Active
Other names
Little River Healthcare Cameron Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY P MADISON (CEO)
(512) 446-4500
Entity
Organization
Contact information
Practice address
708 N CROCKETT AVE, CAMERON, TX 76520-2551
(254) 697-6554
(254) 697-6643
Mailing address
PO BOX 1010, ROCKDALE, TX 76567-1010
(512) 446-4500
(512) 446-0084
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
02/11/2015
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