Provider Demographics
NPI:1881624864
Name:RICE HOSPITAL DISTRICT
Entity type:Organization
Organization Name:RICE HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INTERIM MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NOBLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-234-2551
Mailing Address - Street 1:610 SOUTH AUSTIN ROAD
Mailing Address - Street 2:
Mailing Address - City:EAGLE LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:77434-3202
Mailing Address - Country:US
Mailing Address - Phone:979-234-2551
Mailing Address - Fax:
Practice Address - Street 1:610 SOUTH AUSTIN ROAD
Practice Address - Street 2:
Practice Address - City:EAGLE LAKE
Practice Address - State:TX
Practice Address - Zip Code:77434-3202
Practice Address - Country:US
Practice Address - Phone:979-234-2551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127076102Medicaid
TX127076104Medicaid
TX127076101Medicaid
TX458804Medicare PIN
TX127076102Medicaid
TX00202NMedicare Oscar/Certification