NPIMap

Organization Active NPI

South Texas Rural Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pearsall, TX
National Provider Identifier
1033440243
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTH TEXAS RURAL HEALTH SERVICES, INC.
Practice address
150 Medical Dr
Pearsall, TX 78061-6624
Phone
(830) 879-3047
Fax
(830) 879-2940
NPI assigned
Jan 28, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Alfredo Zamora Jr.
Title
Ceo
Phone
(830) 879-3047

Other NPIs with the same Medicare PAC ID 9

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

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Federally qualified health center certification: CCN 451843

Legal name
SOUTH TEXAS RURAL HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Dec 31, 1975 in TX
Enrollment address
150 Medical Dr
Pearsall, TX 78061-6624

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Johnny Gloria
Individual 		Corporate Director Dec 21, 1981
Rodrigo Jaime
Individual 		Corporate Director Sep 23, 2021
Carlos Ramos
Individual 		Corporate Director Feb 1, 2008
Alma Salinas
Individual 		Corporate Director Dec 21, 1981
Jose Calderon Asuncion
Individual 		Corporate Director Feb 27, 2020
Alvina Patterson
Individual 		Corporate Director Aug 27, 2020
Susan Garcia
Individual 		Corporate Director Dec 21, 1981
Analee Chapa
Individual 		Corporate Director Apr 25, 2019
Myrta Garcia
Individual 		Corporate Officer Apr 1, 2022
W-2 Managing Employee Apr 1, 2022
Karina Sauceda
Individual 		Corporate Director Apr 27, 2023
Velia H Dana
Individual 		Corporate Director Dec 21, 1981
Sayna Ana Rodriguez
Individual 		Corporate Director Dec 21, 1981
Amanda Rios
Individual 		W-2 Managing Employee Apr 9, 2012
Robin Jones
Individual 		Corporate Director Dec 21, 1981
Graciela Perez
Individual 		Corporate Director Dec 21, 1981
Pete Daniel Aguilar
Individual 		Corporate Director Dec 21, 1981
Juan Carmona
Individual 		Corporate Director Dec 21, 1981
Diana Rodriguez
Individual 		Corporate Director Dec 21, 1981
Maria Alma Galvan
Individual 		Corporate Director Dec 21, 1981

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120522000953 TX Part a Provider - Federally Qualified Health Center (FQHC) 0446248231 Practice locations: Pearsall, TX

National Provider Directory

Tax ID family
South Texas Rural Healt (14 organizations share this tax ID)

Locations

101 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4102

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

NPPES NPI Registry

Primary practice location

150 Medical Dr
Pearsall, TX 78061-6624

Mailing address

PO Box 599
Cotulla, TX 78014-0599
Phone (830) 879-3047

Other practice location 1

158 Medical Dr
Pearsall, TX 78061-6624
Phone (830) 334-2087

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0190506-01MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2020.

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1033440243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "city": "COTULLA",
            "state": "TX",
            "postal_code": "780140599",
            "telephone_number": "830-879-3047",
            "fax_number": "830-879-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MEDICAL DR",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780616624",
            "telephone_number": "830-879-3047",
            "fax_number": "830-879-2940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Pearsall",
            "state": "TX",
            "postal_code": "780616624",
            "country_code": "US",
            "telephone_number": "830-334-2087",
            "fax_number": "830-334-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH TEXAS RURAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-879-3047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190506-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearsall, TX

Sources for this page

Verify at the official NPI Registry.