- Enrollment id
- O20171104000125
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1871614917
- Multiple npi flag
- N
- Ccn
- 455582
- Associate id
- 3375593510
- Organization name
- OAKBEND MEDICAL CENTER
- Doing business as name
- PARADIGM AT BAY CITY
- Organization type structure
- OTHER
- Organization other type text
- HOSPITAL DISTRICT
- Proprietary nonprofit
- N
- Nursing home provider name
- PARADIGM AT BAY CITY
- Affiliation entity name
- PARADIGM HEALTHCARE
- Affiliation entity id
- 620
- Address line 1
- 1800 13TH ST
- City
- BAY CITY
- State
- TX
- Zip code
- 774143920