NPIMap

Organization Active NPI

Muenster Hospital District

Doing business as Muenster Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Muesnter, TX
National Provider Identifier
1093839839
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MUENSTER HOSPITAL DISTRICT
Doing business as
Muenster Memorial Hospital
Practice address
605 N Maple
Muesnter, TX 76252-2424
Phone
(940) 759-2271
Fax
(940) 759-5080
NPI assigned
Mar 19, 2007
Last updated
Apr 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Marion Willimon
Title
Ceo
Phone
(940) 759-6153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X TX Primary

Addresses

Primary practice location

605 N Maple
Muesnter, TX 76252-2424

Mailing address

PO Box 370
Muenster, TX 76252-0370
Phone (940) 759-2271

Other identifiers 1

IdentifierTypeStateIssuer
001013692MedicaidTX

Other names 1

  • MUENSTER MEMORIAL HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004001245 TX Part A Provider - Critical Access Hospital 6608785993 Practice locations: Muenster, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093839839. Details of each certification follow.

Hospital certification: CCN 45Z335

Legal name
MUENSTER HOSPITAL DISTRICT
Doing business as
MUENSTER MEMORIAL HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
605 N Maple St
Muenster, TX 76252-2424
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Muenster Memorial Hosp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 1

Organizations listed as members of this organization in the 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
Marion Bruce Individual Corporate OfficerCeo Feb 1, 2021
W-2 Managing EmployeeCeo Feb 1, 2021 100%
Muenster Hospital District Organization, Muenster, TX 5% Or Greater Direct Ownership Interest Dec 1, 2002 100%

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Muenster Memorial HospitalMuenster, TX, CCN 451335 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2002
MMH Family Health ClinicMuenster, TX, CCN 458784 Rural health clinic Operational/Managerial Control Jan 1, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1093839839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "MUENSTER",
            "state": "TX",
            "postal_code": "762520370",
            "telephone_number": "940-759-2271",
            "fax_number": "940-759-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAPLE",
            "city": "MUESNTER",
            "state": "TX",
            "postal_code": "762522424",
            "telephone_number": "940-759-2271",
            "fax_number": "940-759-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUENSTER HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "WILLIMON",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-759-6153"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013692",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUENSTER MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MUENSTER MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.