NPIMap

Organization Active NPI

Fort Duncan Medical Center L.P

Doing business as Fort Duncan Regional Medical Center

  • Rehabilitation Hospital Unit
  • Eagle Pass, TX
National Provider Identifier
1083799514
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
000547 Issued in TX
Legal business name
FORT DUNCAN MEDICAL CENTER L.P
Doing business as
Fort Duncan Regional Medical Center
Practice address
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893
Phone
(830) 757-7502
Fax
(830) 758-4872
NPI assigned
Oct 25, 2006
Last updated
Jan 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Mr. Steve Filton
Title
Cfo, Senior VP
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 000547 TX Primary

Addresses

Primary practice location

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893

Mailing address

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893
Phone (830) 757-7502

Other identifiers 1

IdentifierTypeStateIssuer
1108037-06MedicaidTX

Other names 1

  • Fort Duncan Regional Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070104000527 TX Part A Provider - Hospital 7315855186 Practice locations: Eagle Pass, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083799514. Details of each certification follow.

Hospital certification: CCN 45T092

Legal name
FORT DUNCAN MEDICAL CENTER, L.P.
Doing business as
FORT DUNCAN REGIONAL MEDICAL CENTER
Organization structure
PartnershipProprietary
Incorporated
May 25, 2000 in TX
Enrollment address
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5148
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Fort Duncan Regional Medical CenterCCN 45T092 · All quality measures
Ownership
For profit
Certified
Jan 1, 2007

National Provider Directory

National Provider Directory
Tax ID family
Fort Duncan Med Center LP5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Fort Duncan Medical Center, Inc. Organization, King of Prussia, PA Corporation, Owned by another organization or individual General Partnership Interest Jun 2, 2000 1%
George H Brunner Individual Corporate OfficerAssistant Secretary Jun 2, 2000 100%
Uhs of Fairmount Inc Organization, King of Prussia, PA Corporation, Owned by another organization or individual Limited Partnership Interest Jun 2, 2000 99%
Eladio Montalvo Individual Contracted Managing EmployeeCeo May 1, 2016 100%
Corporate OfficerCeo May 1, 2016 100%
Edward Sim Individual Corporate OfficerPresident Acute Care Division Dec 5, 2022 100%
Corporate DirectorPresident Acute Care Division Dec 5, 2022 33.3%
Operational/Managerial ControlPresident Acute Care Division Dec 5, 2022 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Jan 1, 2010 100%
Corporate DirectorSecretary Jan 1, 2010 33.3%
Steve Filton Individual Corporate OfficerVice President Jun 2, 2000 100%
Corporate DirectorVice President Jun 2, 2000 33.3%
Operational/Managerial ControlVice President Jun 2, 2000 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Jun 2, 2000 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 25, 2000 100%
Miguel J Barrera Individual Contracted Managing EmployeeCfo Jan 27, 2026
Corporate OfficerCfo Jan 27, 2026
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Jun 2, 2000 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 2, 2000 100%
Operational/Managerial Control Jun 2, 2000 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman of the Board Mar 18, 2024 87.4%

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 172

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

View all 172

Practitioners & affiliated clinicians

Practitioners 3

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 5

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1083799514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N FOSTER MALDONADO BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525893",
            "telephone_number": "830-757-7502",
            "fax_number": "830-758-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N FOSTER MALDONADO BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525893",
            "telephone_number": "830-757-7502",
            "fax_number": "830-758-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT DUNCAN MEDICAL CENTER L.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO, SENIOR VP",
        "authorized_official_telephone_number": "610-768-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "000547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1108037-06",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fort Duncan Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.