Organization Active NPI

Gainesville Community Hospital, Inc.

Doing business as NTMC Health Complete Care

  • Rural Health Clinic/Center
  • Gainesville, TX
National Provider Identifier
1033687900
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GAINESVILLE COMMUNITY HOSPITAL, INC.
Doing business as
NTMC Health Complete Care
Practice address
1902 Hospital Blvd
Gainesville, TX 76240-2007
Phone
(940) 612-8750
NPI assigned
Nov 8, 2018
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Thomas Sledge
Title
Ceo
Phone
(940) 612-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1902 Hospital Blvd
Gainesville, TX 76240-2007

Mailing address

1900 Hospital Blvd
Gainesville, TX 76240-2002
Phone (940) 665-1751

Other names 1

  • NTMC Health Complete Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181217002718 TX Part A Provider - Rural Health Clinic 6002150729 Practice locations: Gainesville, TX
O20190122001015 TX Part B Supplier - Clinic/Group Practice 6002150729 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
Practice locations: Gainesville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033687900. Details of each certification follow.

Rural health clinic certification: CCN 458896

Legal name
GAINESVILLE COMMUNITY HOSPITAL INC
Doing business as
NTMC HEALTH COMPLETE CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 19, 2010
Last certification
Apr 15, 2025
Ownership / control type
2B
Most recent change of ownership
Dec 1, 2018 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Aug 10, 2018 in TX
Enrollment address
1902 Hospital Blvd
Gainesville, TX 76240-2007
Related CCNs
450090

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
45D2014747NTMC Health Complete Care1902 Hospital Blvd, Gainesville, TX 76240Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Gainesville Comm Hosp Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Community Hospital Consulting, Inc Organization, Plano, TX Corporation, Non-profit, Chain home office Operational/Managerial Control Dec 1, 2018
Thomas R Sledge Individual Corporate OfficerChief Executive Officer Dec 1, 2018
Evonne Hess Individual Corporate DirectorChief Nursing Officer May 31, 2021
Michael Ducote Individual Corporate OfficerChief Financial Officer Mar 16, 2024
Kristi Rigsby Individual W-2 Managing EmployeeVP Clinic Operations Jan 23, 2022
Shane Lee Individual General Partnership InterestBoard Member Jul 26, 2021
Jim Ronald Kendrick Individual Corporate DirectorPresident Dec 1, 2018
Gainesville Hospital District Organization, Gainesville, TX Other Dec 1, 2018
Joe Thomason Individual Corporate DirectorDirector Dec 1, 2018
Elizabeth S Newman Individual W-2 Managing Employee Jan 31, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 11

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

Change-of-ownership history 1

DateEventCounterparty
Dec 1, 2018 Change of OwnershipThis provider was the buyer Cooke County Medical CenterCCN 458896, TX, NPI 1346542115

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1033687900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOSPITAL BLVD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402002",
            "telephone_number": "940-665-1751",
            "fax_number": "940-612-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 HOSPITAL BLVD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402007",
            "telephone_number": "940-612-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "SLEDGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-612-8616"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NTMC Health Complete Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.