OrganizationActive
Citizens Medical Center County of Victoria
NPI 1902227747 · Skilled Nursing Facility · Moulton, TX
Provider details
- NPI number
- 1902227747
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Thames, Ceo(361) 573-9181
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 South Lancaster
Moulton, TX 77975-0120
Phone: (361) 596-7373
Fax: (361) 596-7671
Street-level locationGet directions
Mailing address
2701 Hospital Dr
Victoria, TX 77901-5748
Other names (DBA / former)
- Doing business as
- Shady Oak Nursing and Rehabilitation
Registry dates
- Enumerated
- 2013-12-20
- Last updated
- 2014-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.