Provider Demographics
NPI:1528174968
Name:CTVHCS
Entity type:Organization
Organization Name:CTVHCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:KINESIOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED
Authorized Official - Phone:254-778-4811
Mailing Address - Street 1:436 E JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:TX
Mailing Address - Zip Code:76643-3425
Mailing Address - Country:US
Mailing Address - Phone:254-666-3599
Mailing Address - Fax:
Practice Address - Street 1:1901 S 1ST ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7451
Practice Address - Country:US
Practice Address - Phone:254-778-4811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX582286500000X, 315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered286500000XHospitalsMilitary Hospital
Not Answered315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient