Provider Demographics
NPI:1245214642
Name:OAKBEND MEDICAL CENTER
Entity Type:Organization
Organization Name:OAKBEND MEDICAL CENTER
Other - Org Name:S.P.J.S.T. REST HOME 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:VOLEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-352-6337
Mailing Address - Street 1:8611 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEEDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77461-8136
Mailing Address - Country:US
Mailing Address - Phone:979-793-4256
Mailing Address - Fax:979-793-3150
Practice Address - Street 1:8611 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEEDVILLE
Practice Address - State:TX
Practice Address - Zip Code:77461-8136
Practice Address - Country:US
Practice Address - Phone:979-793-4256
Practice Address - Fax:979-793-3150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111539314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45E666Medicaid
TX004831Medicaid