NPIMap

Organization Active NPI

United Regional Health Care System Inc

Doing business as United Regional Heath Care System

  • General Acute Care Hospital
  • Wichita Falls, TX
National Provider Identifier
1023013448
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000417 Issued in TX
Legal business name
UNITED REGIONAL HEALTH CARE SYSTEM INC
Doing business as
United Regional Heath Care System
Practice address
1600 11TH St
Wichita Falls, TX 76301-4388
Phone
(940) 764-3034
Fax
(940) 764-8315
NPI assigned
Jun 14, 2005
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mr. Cory Edmondson
Title
President & Chief Executive Officer
Phone
(940) 764-3034

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Mobile Radiology Clinic/Center 261QR0208X NU
General Acute Care Hospital 282N00000X 000417 TX Primary

Addresses

Primary practice location

1600 11TH St
Wichita Falls, TX 76301-4388

Mailing address

1600 11TH St
Wichita Falls, TX 76301-4388
Phone (940) 764-3034

Other identifiers 14

IdentifierTypeStateIssuer
23340MedicaidAZ
00L72SOtherTXBLUE CROSS HOSP BASED PHY
10649BMedicaidSC
100103590AMedicaidKS
135237905MedicaidTX
8303401MedicaidNJ
135237904MedicaidTX
408086137MedicaidMI
135237906MedicaidTX
XHSP30169MedicaidCA
XHSP40169MedicaidCA
100702600AMedicaidOK
135237907MedicaidTX
HH0128OtherTXBLUE CROSS OF TEXAS

Other names 1

  • United Regional Heath Care System Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/ Other United Regional Physician Group
FHIR URL https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other United Regional Physician Group
Direct Messaging Address unitedregional@unitedregional.medalliesdirect.net Direct United Regional Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040105000176 TX Part B Supplier - Clinic/Group Practice 7315846813 Receives reassigned benefits from 12 practitioners
Practice locations: Wichita Falls, TX
O20071213000332 TX Part A Provider - Hospital 7315846813 Practice locations: Wichita Falls, TX; Wichta Falls, TX
O20240425002230 TX Part B Supplier - Intensive Cardiac Rehabilitation 7315846813 Practice locations: Wichita Falls, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1023013448. Details of each certification follow.

Hospital certification: CCN 450010

Legal name
UNITED REGIONAL HEALTH CARE SYSTEM INC
Doing business as
UNITED REGIONAL HEALTH CARE SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 7, 1967
Last certification
Aug 22, 2012
Beds
565
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 1997 in TX
Enrollment address
1600 11TH St
Attn: Jeri Kaspar
Wichita Falls, TX 76301-4300
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Short-term

Hospital certification: CCN 450025

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BETHANIA REGIONAL HEALTH CARE CENTER
Certification status
Terminated Voluntary: merger or closure, Oct 15, 1997
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 16, 1992
Beds
258 (233 certified)
Ownership / control type
Church
Facility address
1600 11TH St
Wichita Falls, TX 76301

Care Compare: Hospital

Medicare Care Compare
Listed as
United Regional Health Care SystemCCN 450010 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0052633United Regional Health Care System Lab1600 11TH Street, Wichita Falls, TX 76301AccreditationFeb 8, 2027
45D0860490United Regional Health Care System1600 11TH Street 3Rd Floor, Wichita Falls, TX 76301AccreditationFeb 8, 2027
45D2118115United Regional Health Care Physicians/Provider1600 Eleventh Street Attn Administration, Wichita Falls, TX 76301Certificate of waiverAug 29, 2026

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

1617 11th St
Wichita Falls, TX 76301
Phone 94076470007937

1631 Tenth St
Wichta Falls, TX 76301
Phone (940) 764-8190

Interoperability endpoints

  • Direct secure messaging: aalfaro13291@unitedregional.medalliesdirect.net
  • Direct secure messaging: aalhillan62647@unitedregional.medalliesdirect.net
  • Direct secure messaging: aalhomsi13293@unitedregional.medalliesdirect.net
  • Direct secure messaging: aalsadoon13298@unitedregional.medalliesdirect.net
  • Direct secure messaging: abarbee73094@unitedregional.medalliesdirect.net
  • Direct secure messaging: abirmingham57007@unitedregional.medalliesdirect.net
  • Direct secure messaging: acanion72392@unitedregional.medalliesdirect.net
  • Direct secure messaging: acoleman13583@unitedregional.medalliesdirect.net
  • Direct secure messaging: acox21918@unitedregional.medalliesdirect.net
  • Direct secure messaging: acure18589@unitedregional.medalliesdirect.net
  • Direct secure messaging: adelgadogonzalez47895@unitedregional.medalliesdirect.net
  • Direct secure messaging: adesire13654@unitedregional.medalliesdirect.net
  • Direct secure messaging: aflack13740@unitedregional.medalliesdirect.net
  • Direct secure messaging: agonzales13828@unitedregional.medalliesdirect.net
  • Direct secure messaging: ahill23421@unitedregional.medalliesdirect.net
  • Direct secure messaging: aignaszewski62520@unitedregional.medalliesdirect.net
  • Direct secure messaging: akalakunja14051@unitedregional.medalliesdirect.net
  • Direct secure messaging: alightner73061@unitedregional.medalliesdirect.net
  • Direct secure messaging: amahmood14194@unitedregional.medalliesdirect.net
  • Direct secure messaging: amazzarulli60074@unitedregional.medalliesdirect.net

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Keith H Williamson Individual Corporate Director Mar 1, 2021
Stephanie McDonnell Individual W-2 Managing EmployeeCio Feb 24, 2025
Robert M Pert Individual W-2 Managing Employee Dec 20, 2007
Robert Hegglund Individual Corporate Director Mar 1, 2021
Anne Dabovich Individual W-2 Managing EmployeeChief Nursing Officer Mar 1, 2021
Diann Taylor Individual Corporate Officer Feb 24, 2025
Stacia Haynie Individual Corporate Officer Sep 22, 2025
Kimberly Stringfellow Individual Corporate Director Jul 1, 2024
Allen Flack Individual Corporate Director Mar 1, 2021
Lacey Morgan Individual Corporate Director Mar 1, 2021
Cory Edmondson Individual Corporate Officer Feb 24, 2025
Corporate Director Feb 24, 2025
W-2 Managing Employee Feb 24, 2025
Operational/Managerial Control Feb 24, 2025
Ryan J Bannon Individual Corporate Director Feb 24, 2025
Kodia Louis Individual Corporate Officer Feb 24, 2025
Brett H May Individual Corporate Director Mar 1, 2021
Stephanie Spain Individual Corporate Director Mar 1, 2021
United Regional Health Care System Inc Organization, Wichita Falls, TX Operational/Managerial Control Jan 1, 2008
Johnny Roberts Individual W-2 Managing EmployeeVice President of Practice Services Feb 24, 2025
Diana Romero Arenas Individual Corporate Director Feb 24, 2025
Tim Cornelius Individual Corporate Director Mar 1, 2021
Rodney Case Individual Corporate Director Feb 24, 2025
Kristi Faulkner Individual W-2 Managing EmployeeVP - Organizational Development Feb 24, 2025
Vedampattu P Ganeshram Individual Corporate Officer Feb 24, 2025
Robert Forrester Individual Corporate Director Mar 1, 2021

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of Wichita FallsWichita Falls, TX, CCN 453054 Hospital 5% Or Greater Indirect Ownership Interest (25%) Jun 24, 1991

Owned or controlled facilities with NPI records 1

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

  • CMS Rehab of WF LP

    dba Encompass Health Rehabilitation Hospital of Wichita Falls

    • Rehabilitation Hospital
    • Wichita Falls, TX
    • NPI 1689648339

    5% Or Greater Indirect Ownership Interest

    CMS ownership

Facilities with the same owner 1

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

  • CMS Rehab of WF LP

    dba Encompass Health Rehabilitation Hospital of Wichita Falls

    • Rehabilitation Hospital
    • Wichita Falls, TX
    • NPI 1689648339

    United Regional Health Care System Inc

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 669

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.

View all 669

Affiliated clinicians 461

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

View all 461

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1023013448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014388",
            "telephone_number": "940-764-3034",
            "fax_number": "940-764-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014388",
            "telephone_number": "940-764-3034",
            "fax_number": "940-764-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REGIONAL HEALTH CARE SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "940-764-3034",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23340",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOSP BASED PHY",
            "identifier": "00L72S",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10649B",
            "state": "SC"
        },
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            "issuer": null,
            "identifier": "100103590A",
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135237905",
            "state": "TX"
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            "issuer": null,
            "identifier": "8303401",
            "state": "NJ"
        },
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135237904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408086137",
            "state": "MI"
        },
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            "identifier": "135237906",
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        },
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            "identifier": "XHSP30169",
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        },
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP40169",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100702600A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135237907",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TEXAS",
            "identifier": "HH0128",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/",
            "affiliation": "Y",
            "endpointDescription": "FHIR R4 Endpoint",
            "affiliationName": "United Regional Physician Group",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR R4 Endpoint",
            "address_1": "1518 9th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763014323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "FHIR DSTU2 Endpoint",
            "affiliationName": "United Regional Physician Group",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR DSTU2 Endpoint",
            "address_1": "1518 9th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763014323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "unitedregional@unitedregional.medalliesdirect.net",
            "affiliation": "Y",
            "affiliationName": "United Regional Physician Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1600 11th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763014388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "United Regional Heath Care System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Regional Heath Care System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.