Organization
ROCKDALE BLACKHAWK, LLC
Active
Other names
Little River Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF P MADISON (CEO)
(512) 446-4500
Entity
Organization
Contact information
Practice address
1700 BRAZOS AVE, ROCKDALE, TX 76567-2517
(512) 446-4500
(512) 446-0084
Mailing address
PO BOX 1010, ROCKDALE, TX 76567-1010
(512) 446-4500
(512) 446-0084
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
02/11/2015
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