Eastland Memorial Hospital District
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Eastland, TX
NPI 1023353752 · NPPES record last updated Nov 21, 2025
Key facts
- NPI
- 1023353752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 000222 (TX)
- Legal business name
- EASTLAND MEMORIAL HOSPITAL DISTRICT
- Practice address
- 304 South Daugherty Street
Eastland, TX 76448 - Phone
- (254) 629-2601
- Fax
- (254) 629-8701
- NPI assigned
- Dec 6, 2012
- Organization subpart
- No
Authorized official
- Name
- Stephen Clay Taylor
- Title
- Ceo
- Phone
- (254) 631-5342
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 36
Practitioners 60
-
Jense Benjamin, M.D., M.S., FRCS
-
Daniel Ramiro Canchola, M.D.
-
Craig Ge-Sheng Chang, M.D.
-
Mahan Chimanji, M.D.
-
Maxi Theodorine Chousand, M.D.
-
Roxana L. Cruz, MD
-
Robert Charles Deluca, D.O.
-
Karla Rae Dick, DO
-
Jason R Disney, MD
-
Obiora M Ekweani, MD
-
Hassan Farooq, M.D.
-
David Fletcher, DO
-
Charles W Fuller, M.D.
-
Judith Gracia Graves, M.D.
-
William Todd Gray, D.O.
-
Karl Kietzke, M.D.
-
William P Martin, MD
Affiliated clinicians 3
-
Kevin Ray Cunningham, D.O.
-
Giang Tuong Nguyen, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 67Z303
- Legal name
- EASTLAND MEMORIAL HOSPITAL DISTRICT
- Doing business as
- EASTLAND MEMORIAL HOSPITAL
- Organization structure
- Government · Non-profit
- Enrollment address
- 304 S Daugherty Ave
Eastland, TX 76448-2609
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Amy L Obrien-Glenn |
Corporate Officer |
Mar 1, 2025 | |
| William H Hoffman |
Corporate Director |
Mar 20, 2023 | |
| Stephen K Joiner |
Corporate Director |
Mar 20, 2023 | |
| Eastland Memorial Hospital District |
5% Or Greater Direct Ownership Interest | Mar 20, 2023 | 100% |
| Operational/Managerial Control | Mar 20, 2023 | ||
| Stephen C Taylor |
Corporate Director |
Jul 1, 2025 | |
| Nancy K Stewart |
Corporate Director |
Mar 20, 2023 | |
| Donald W Hughes |
Corporate Director |
Mar 20, 2023 | |
| Emily Rogers |
Corporate Director |
Mar 20, 2023 | |
| W-2 Managing Employee |
Mar 20, 2023 | ||
| Carolyn White |
Corporate Director |
Mar 20, 2023 | |
| Richard Barron |
Corporate Director |
Mar 20, 2023 | |
| Missy Moylan |
Corporate Director |
Mar 20, 2023 |
All facility ownership & control disclosures 36
| Facility | Type | Role | Since |
|---|---|---|---|
| Eastland Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 20, 2023 Mar 20, 2023 |
| Northern Oaks Living and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2015 |
| Avir at Cisco |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 28, 2015 |
| Willowbend Nursing and Rehabilitation Center. |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 20, 2015 |
| Wisteria Place |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2015 |
| The Woodlands |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 28, 2015 |
| Golden Acres Living and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 20, 2015 |
| Heritage Gardens Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Lake Village Nursing and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Mesa Springs Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Westpark Rehabilitation and Living |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Carrollton Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Wellington Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at Fort Worth |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Green Valley Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Cross Timbers Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at Itasca |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2017 |
| Richland Hills Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at Hillsboro |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2017 |
| Terrell Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Legend Oaks Healthcare and Rehabilitation - Waxahachie |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Legend Oaks Healthcare and Rehabilitation - Garland |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| The Villages of Dallas |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Legend Oaks Healthcare and Rehabilitation - Fort Worth |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Keller Oaks Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2019 |
| Pleasant Manor Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2019 |
| Crestwood Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2019 |
| The Oaks at Radford Hills Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Ridgecrest Retirement and Healthcare Community |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2021 |
| Pleasant Valley Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2022 |
| McKinney Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Windsor Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2024 |
| Beacon Harbor Healthcare and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2024 |
| Rowlett Health and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Emh Regional Healthcare Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2019 |
| Eastland Memorial Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230706002167 | TX | Part a Provider - Critical Access Hospital | 3072412725 | Practice locations: Eastland, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 000222 | TX | Yes |
Addresses
Primary practice location
304 South Daugherty Street
Eastland, TX 76448
Mailing address
PO Box 897
Eastland, TX 76448-0897
Phone (254) 629-2601
Other names
- Eastland Memorial Hosptial
NPI Registry JSON
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763683200000",
"number": "1023353752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 897",
"city": "EASTLAND",
"state": "TX",
"postal_code": "764480897",
"telephone_number": "254-629-2601",
"fax_number": "254-629-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 SOUTH DAUGHERTY STREET",
"city": "EASTLAND",
"state": "TX",
"postal_code": "76448",
"telephone_number": "254-629-2601",
"fax_number": "254-629-8701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTLAND MEMORIAL HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-06",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "CLAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "254-631-5342"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "TX",
"license": "000222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastland Memorial Hosptial",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Eastland, TX
- Eastland Dental PLLC
- Eastland Dialysis Center, LLC
- Eastland Drug Company Incorporated
- Eastland Health Clinic PLLC
- Eastland Independent School District
- Eastland Memorial Hospital District
- Eastland Memorial Hospital District
- Eastland Memorial Hospital District
- Eastland Memorial Hospital District
- Eastland Memorial Hospital District
All providers in Eastland, TX · Medicare Defined Swing Bed Hospital Unit in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.