MEDICARE: RICE HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881624864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICE HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	610 SOUTH AUSTIN ROAD
Second Line	:
City	:	EAGLE LAKE
State	:	TX
Zip	:	77434-3202
Country	:	US
Telephone Number	:	979-234-2551
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 SOUTH AUSTIN ROAD
Second Line	:
City	:	EAGLE LAKE
State	:	TX
Zip	:	77434-3202
Country	:	US
Telephone Number	:	979-234-2551
Fax Number	:

Authorized Official
Title or Position	:	INTERIM MANAGER
Name	:	MR. NOBLE ANDERSON
Credential	:
Telephone Number	:	979-234-2551

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	11/04/2009

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Directions to “RICE HOSPITAL DISTRICT ” Practice Location

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