Provider Demographics
NPI:1154608461
Name:OAKBEND MEDICAL CENTER
Entity type:Organization
Organization Name:OAKBEND MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREUDENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-341-4881
Mailing Address - Street 1:400 E SAYLES ST
Mailing Address - Street 2:
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-2358
Mailing Address - Country:US
Mailing Address - Phone:979-836-9770
Mailing Address - Fax:979-836-6100
Practice Address - Street 1:400 E SAYLES ST
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-2358
Practice Address - Country:US
Practice Address - Phone:979-836-9770
Practice Address - Fax:979-836-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-15
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001026702Medicaid
TX5397Medicaid
TX001020094Medicaid
TX001020094Medicaid
TX291724701Medicaid