Provider Demographics
NPI:1659316354
Name:ROBERT E. GAY, III, INC.
Entity Type:Organization
Organization Name:ROBERT E. GAY, III, INC.
Other - Org Name:RIVER OAKS HEALTH AND REHABILITIATION CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:GAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-732-2347
Mailing Address - Street 1:300 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:TX
Mailing Address - Zip Code:78934-1537
Mailing Address - Country:US
Mailing Address - Phone:979-732-2347
Mailing Address - Fax:979-732-3473
Practice Address - Street 1:300 NORTH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:TX
Practice Address - Zip Code:78934-1537
Practice Address - Country:US
Practice Address - Phone:979-732-2347
Practice Address - Fax:979-732-3473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00443003Medicaid
0248720002Medicare NSC
TX00443003Medicaid