1942441159 NPI number — REBECCA P. BOHACH LVN

Table of content: REBECCA P. BOHACH LVN (NPI 1942441159)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942441159 NPI number — REBECCA P. BOHACH LVN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOHACH
Provider First Name:
REBECCA
Provider Middle Name:
P.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LVN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942441159
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/18/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
228 ST. GEORGE
Provider Second Line Business Mailing Address:
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC
Provider Business Mailing Address City Name:
GONZALES
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78629
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-672-6511
Provider Business Mailing Address Fax Number:
830-672-8608

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
228 ST. GEORGE
Provider Second Line Business Practice Location Address:
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC
Provider Business Practice Location Address City Name:
GONZALES
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-672-6511
Provider Business Practice Location Address Fax Number:
830-672-8608
Provider Enumeration Date:
03/18/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 164X00000X , with the licence number:  133957 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)