NPIMap

Organization Active NPI

Shelby Hospital L.L.C.

  • General Acute Care Hospital
  • Center, TX
National Provider Identifier
1063600724
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SHELBY HOSPITAL L.L.C.
Practice address
602 Hurst St
Center, TX 75935-3414
Phone
(254) 541-3009
Fax
(210) 568-4384
NPI assigned
Oct 9, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Tariq MahmoodNPI 1952414799
Title
President
Phone
(254) 541-3009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

602 Hurst St
Center, TX 75935-3414

Mailing address

806 N Crockett Ave
Cameron, TX 76520-2599
Phone (254) 541-3009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063600724. Details of each certification follow.

Hospital certification: CCN 450473

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
MEMORIAL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Sep 30, 2000
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1979
Last certification
Apr 26, 1993
Beds
54 (48 certified)
Ownership / control type
Private (for profit)
Facility address
602 Hurst Street
Center, TX 75935

National Provider Directory

National Provider Directory

Locations

806 N Crockett Ave
Cameron, TX 76520
Phone (254) 605-0025

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1063600724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N CROCKETT AVE",
            "city": "CAMERON",
            "state": "TX",
            "postal_code": "765202599",
            "telephone_number": "254-541-3009",
            "fax_number": "210-568-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 HURST ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353414",
            "telephone_number": "254-541-3009",
            "fax_number": "210-568-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY HOSPITAL L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-541-3009"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center, TX

Sources for this page

Verify at the official NPI Registry.