NPIMap

Organization Active NPI

General Hospital

Doing business as Iraan General Hospital District

  • Critical Access Hospital
  • Iraan, TX
National Provider Identifier
1083619712
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
000258 Issued in TX
Legal business name
GENERAL HOSPITAL
Doing business as
Iraan General Hospital District
Practice address
600 Hwy 349 North
Iraan, TX 79744-0665
Phone
(432) 639-2575
Fax
(432) 639-6292
NPI assigned
Jun 17, 2005
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mr. William Nall
Title
Acting Ceo
Phone
(432) 639-2575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X
Critical Access Hospital 282NC0060X 000258 TX Primary

Addresses

Primary practice location

600 Hwy 349 North
Iraan, TX 79744-0665

Mailing address

PO Box 665
Iraan, TX 79744-0665
Phone (432) 639-2575

Other identifiers 5

IdentifierTypeStateIssuer
122917OtherTXSUPERIOR PROVIDER NUMBER
9122761-00MedicaidFL
HH0144OtherTXBLUE CROSS PROVIDER #
105375100OtherTXFIRST CARE PROVIDER NUMBE
112728403MedicaidTX

Other names 1

  • IRAAN GENERAL HOSPITAL DISTRICT Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000311 TX Part B Supplier - Clinic/Group Practice 9032023841 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Iraan, TX
O20090123000586 TX Part A Provider - Critical Access Hospital 9032023841 Receives reassigned benefits from 5 practitioners
Practice locations: Iraan, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083619712. Details of each certification follow.

Hospital certification: CCN 451307

Legal name
GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 15, 2000
Last certification
Mar 18, 2026
Beds
14
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
600 Hwy 349 North
Iraan, TX 78744-0665
Other Hospital Practice Location

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).

  • General Hospital

    dba Iraan General Hospital District

    • Rural Health Clinic/Center
    • Iraan, TX
    • NPI 1174001242

    9032023841

    Same PAC ID
  • General Hospital

    dba Iraan General Hospital District

    • Medicare Defined Swing Bed Hospital Unit
    • Iraan, TX
    • NPI 1508822552

    9032023841

    Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Iraan General HospitalCCN 451307 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
William Nall Individual W-2 Managing Employee Jul 1, 2024
Operational/Managerial ControlChief Executive Officer Jul 1, 2024
Nelia Hernandez Individual W-2 Managing EmployeeOfficer Jul 1, 2024
OtherChief Financial Officer Jul 1, 2024

Practitioners & affiliated clinicians

Practitioners 10

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.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1083619712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "IRAAN",
            "state": "TX",
            "postal_code": "797440665",
            "telephone_number": "432-639-2575",
            "fax_number": "432-639-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HWY 349 NORTH",
            "city": "IRAAN",
            "state": "TX",
            "postal_code": "797440665",
            "telephone_number": "432-639-2575",
            "fax_number": "432-639-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "NALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "432-639-2575",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "000258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR PROVIDER NUMBER",
            "identifier": "122917",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9122761-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "HH0144",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE PROVIDER NUMBE",
            "identifier": "105375100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112728403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRAAN GENERAL HOSPITAL DISTRICT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IRAAN GENERAL HOSPITAL DISTRICT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iraan, TX

Sources for this page

Verify at the official NPI Registry.