Walker County Hospital Corporation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WALKER COUNTY HOSPITAL CORPORATION

Practice address

110 Hill Ave
Coldspring, TX 77331-5406

Phone

(936) 439-1450

NPI assigned

Jul 22, 2015

Last updated

Jan 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Brown, CFO

Title

Cfo

Phone

93629125230

Specialties & licenses 1

Addresses

Other names 1

• Huntsville Memorial Med Clinic - ColdSpring Other name

Locations

Practitioners 1

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.

• Michael Robert Ruttle, P.A

  • Medical Physician Assistant
  • Huntsville, TX
  • NPI 1801916556
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1003291915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MEMORIAL HOSPITAL DR",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HILL AVE",
            "city": "COLDSPRING",
            "state": "TX",
            "postal_code": "773315406",
            "telephone_number": "936-439-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER COUNTY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "93629125230",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntsville Memorial Med Clinic - ColdSpring",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Renee Lee Sides, MA, LSSP
• Smith Advocacy Services
• Smith Logistics & Transportation
• Rosalind Sharell Smith, LPC-S, PHD
• Vyandus LLC
• Nona Waxman, PHD DFM LVN
• Philip Robert Wisiackas, MD

• Rural Health Clinic/Center in Coldspring, TX
• Providers in Coldspring, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.