NPIMap

Organization Active NPI

Fannin County Hospital Authority

Doing business as Cedar Creek Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Bandera, TX
National Provider Identifier
1013874718
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FANNIN COUNTY HOSPITAL AUTHORITY
Doing business as
Cedar Creek Nursing and Rehabilitation Center
Practice address
159 Montague Dr
Bandera, TX 78003-6230
Phone
(830) 460-3767
Fax
(682) 257-8669
NPI assigned
Jan 6, 2026
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Zachary Willig
Title
Licensing Manager
Phone
(580) 235-8804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

159 Montague Dr
Bandera, TX 78003-6230

Mailing address

4150 International PLZ Ste 200
Fort Worth, TX 76109-4875

Other names 1

  • Cedar Creek Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fannin Cnty Hosp Authority72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1013874718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MONTAGUE DR",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780036230",
            "telephone_number": "830-460-3767",
            "fax_number": "682-257-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "WILLIG",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "LICENSING MANAGER",
        "authorized_official_telephone_number": "580-235-8804"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Creek Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bandera, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.