NPIMap

Organization Active NPI

El Campo Memorial Hospital

Doing business as Mid Coast Medical Clinic - Trinity

  • General Acute Care Hospital
  • El Campo, TX
National Provider Identifier
1003192311
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
EL CAMPO MEMORIAL HOSPITAL
Doing business as
Mid Coast Medical Clinic - Trinity
Practice address
303 Sandy Corner Rd
El Campo, TX 77437-9535
Phone
(979) 543-6251
Fax
(979) 275-1147
NPI assigned
Nov 1, 2011
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brett Kirkham
Title
Ceo
Phone
(979) 543-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

303 Sandy Corner Rd
El Campo, TX 77437-9535

Mailing address

303 Sandy Corner Rd
El Campo, TX 77437-9535
Phone (979) 543-6251

Other identifiers 1

IdentifierTypeStateIssuer
1003192311MedicaidTX

Other names 1

  • MID COAST MEDICAL CLINIC - TRINITY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111214001042 TX Part A Provider - Hospital 6406021765 Practice locations: Wharton, TX; Ganado, TX; El Campo, TX; Bay City, TX; Boling, TX
O20140813001385 TX Part B Supplier - Clinic/Group Practice 6406021765 Receives reassigned benefits from 38 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wharton, TX; Palacios, TX; Mason, TX; Louise, TX; Ganado, TX; El Campo, TX; Boling, TX; Blessing, TX…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003192311. Details of each certification follow.

Hospital certification: CCN 450694

Legal name
EL CAMPO MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 31, 1979
Last certification
Nov 13, 2025
Beds
49
Ownership / control type
Other
Most recent change of ownership
Nov 1, 2011 (2 total)
Organization structure
CorporationProprietary
Incorporated
Jun 20, 2011 in TX
Enrollment address
303 Sandy Corner Rd
El Campo, TX 77437-9535
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

Care Compare: Hospital

Medicare Care Compare
Listed as
El Campo Memorial HospitalCCN 450694 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elcampo-b0e6e0bc

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Mak Individual Corporate DirectorChief Financial Officer Aug 1, 2017
W-2 Managing EmployeeChief Financial Officer Aug 1, 2017
Randy Clapp Individual Corporate OfficerBoard Member Nov 1, 2011
El Campo Memorial Hospital Organization, El Campo, TX For-profit 5% Or Greater Direct Ownership Interest Apr 11, 2014
Operational/Managerial Control Apr 11, 2014
Brett Kirkham Individual Corporate DirectorActing Chief Executive Officer Oct 1, 2023
W-2 Managing EmployeeActing Chief Executive Officer Oct 1, 2023
Julie Strnadel Individual Corporate DirectorBoard Member Jan 13, 2021
Rachel Cutrer Individual Corporate DirectorBoard Member Nov 16, 2020

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
El Campo Memorial HospitalEl Campo, TX, CCN 45U694 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Apr 11, 2014
Apr 11, 2014
Mid Coast Medical ClinicEl Campo, TX, CCN 453463 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Apr 11, 2014
Apr 11, 2014
El Campo Memorial HospitalWharton, TX, CCN 673466 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 25, 2018
Jan 25, 2018
Mid Coast Well CareEl Campo, TX, CCN 673478 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 3, 2019
Jun 3, 2019

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 130

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 130

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1003192311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SANDY CORNER RD",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774379535",
            "telephone_number": "979-543-6251",
            "fax_number": "979-543-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SANDY CORNER RD",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774379535",
            "telephone_number": "979-543-6251",
            "fax_number": "979-275-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMPO MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2025-09-02",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-543-6251"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003192311",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID COAST MEDICAL CLINIC - TRINITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Campo, TX

Sources for this page

Verify at the official NPI Registry.