MEDICARE: DEWEYVILLE RURAL HEALTH CLINIC LLC

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	10-560939-6	TX

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

General Provider Information

NPI Number	:	1992763684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEWEYVILLE RURAL HEALTH CLINIC LLC

Provider Business Mailing Address
First Line	:	2493 STATE HIGHWAY 12 E
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77632-8426
Country	:	US
Telephone Number	:	409-746-7000
Fax Number	:	409-746-7016

Provider Business Practice Location Address
First Line	:	2493 STATE HIGHWAY 12 E
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77632-8426
Country	:	US
Telephone Number	:	409-746-7000
Fax Number	:	409-746-7016

Authorized Official
Title or Position	:	OWNER
Name	:	MR. WILLIAM DAVID DUNN
Credential	:	FNP
Telephone Number	:	409-746-7000

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	07/21/2008

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1093201097 — KEVIN DAVID DIANA PTA
Practice Location Address:

2884 WELLNESS AVE
ORANGE CITY, FL
32763-8426

Practice Phone: 386-774-4404
Practice Fax: 386-774-4496

1316723380 — ASHLEY DANIELLE LENZEN
Practice Location Address:

2884 WELLNESS AVE
ORANGE CITY, FL
32763-8426

Practice Phone: 386-774-4404
Practice Fax:

1306611231 — TROY TURNER NP
Practice Location Address:

1025 S ORANGE AVE
SARASOTA, FL
34236-8426

Practice Phone: 941-724-0777
Practice Fax:

1649162124 — BRENDA NAUMOVITZ APRN
Practice Location Address:

2884 WELLNESS AVE
ORANGE CITY, FL
32763-8426

Practice Phone: 386-774-0016
Practice Fax:

1891658555 — LISA MARIE RICHARDS SNIDER M.ED., LPC
Practice Location Address:

4305 TEJAS PKWY
ORANGE, TX
77632-1358

Practice Phone: 409-883-7074
Practice Fax:

Directions to “DEWEYVILLE RURAL HEALTH CLINIC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.