Active NPI
Granbury Hospital Corporation
Doing business as Lake Granbury Medical Center
- General Acute Care Hospital
- Granbury, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 000424
- Legal business name
- GRANBURY HOSPITAL CORPORATION
- Doing business as
- Lake Granbury Medical Center
- Practice address
- 1310 Paluxy Rd
Granbury, TX 76048-5655 - Phone
- (817) 573-2273
- NPI assigned
- Jan 30, 2006
- Last updated
- Sep 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | ||
| General Acute Care Hospital | 282N00000X | 000424 | TX | Primary |
Addresses
Primary practice location
1310 Paluxy Rd
Granbury, TX 76048-5655
Mailing address
PO Box 844842
Dallas, TX 75284-4842
Phone (817) 573-2273
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011844 | Other | HARRIS METH | |
| 5868806 | Other | AETNA | |
| 678291 | Other | PALMETTO | |
| H04505964 | Medicaid | TX | |
| 002308 | Other | HARRIS METH STAR | |
| HH1971 | Other | BCBS | |
| 56125 | Other | PARKLAND COMM | |
| K06782916 | Other | NHIC MA | |
| 094178302 | Other | AMERIGROUP | |
| HASC05969 | Other | METROWEST |
Other names 1
- Lake Granbury Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040303001210 | TX | Part A Provider - Hospital | 1153218086 | Practice locations: Glen Rose, TX; Granbury, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114998911. Details of each certification follow.
Hospital certification: CCN 450596
- Legal name
- GRANBURY HOSPITAL CORPORATION
- Doing business as
- LAKE GRANBURY MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 1, 1972
- Last certification
- Jul 21, 2023
- Beds
- 59
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Jan 1, 1997 (1 total)
- Organization structure
- Corporation
- Enrollment address
- 1310 Paluxy Rd
Granbury, TX 76048-5655 - Hospital subgroups
- Acute care
Care Compare: Hospital
Medicare Care Compare- Listed as
- Lake Granbury Medical Center
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Nathaniel K Summar | Corporate Director | Jun 1, 2018 | |
| Justin D Pitt | Corporate Officer | Mar 1, 2022 | |
| Corporate Director | Jan 6, 2026 | ||
| William Bradley Cash | Corporate Officer | Jun 1, 2018 | |
| Phillip a Posey | Corporate Officer | Jan 6, 2026 | |
| Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2010 | 100% |
| Jason Kevin Johnson | Corporate Officer | Jan 6, 2020 | |
| Corporate Director | Jan 6, 2026 | ||
| Roman Gabriel Ottinger | Corporate Officer | Jan 6, 2020 | |
| Paula M Lalor | Corporate Director | Apr 1, 2017 | |
| Edna S Buffington-Price | Corporate Director | Mar 1, 2022 | |
| Curt Matthew Junkins | W-2 Managing Employee | Mar 22, 2022 | |
| Community Health Investment Company LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2010 | 100% |
| Christopher G Cobb | Corporate Officer | Apr 1, 2017 | |
| CHS Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2010 | 100% |
Facilities with the same owner 120
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Rural Health Clinic/Center
- Granbury, TX
- NPI 1285341081
CHS Community Health Systems Inc, Community Health Systems Inc
-
- Rural Health Clinic/Center
- Granbury, TX
- NPI 1346963410
CHS Community Health Systems Inc, Community Health Systems Inc
-
- Rural Health Clinic/Center
- Granbury, TX
- NPI 1386341535
CHS Community Health Systems Inc, Community Health Systems Inc
-
- Rural Health Clinic/Center
- Granbury, TX
- NPI 1790492593
CHS Community Health Systems Inc, Community Health Systems Inc
-
dba Laredo Medical Center
- Rehabilitation Hospital Unit
- Laredo, TX
- NPI 1790758522
CHS Community Health Systems Inc, Community Health Investment Company LLC, Community Health Systems Inc
-
dba Laredo Medical Center
- General Acute Care Hospital
- Laredo, TX
- NPI 1548232044
CHS Community Health Systems Inc, Community Health Investment Company LLC, Community Health Systems Inc
-
dba Laredo Medical Center
- Skilled Nursing Facility
- Laredo, TX
- NPI 1891768628
CHS Community Health Systems Inc, Community Health Investment Company LLC, Community Health Systems Inc
-
dba Longview Regional Medical Center
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
CHS Community Health Systems Inc, Community Health Systems Inc
-
dba Longview Regional Medical Center
- Rehabilitation Hospital Unit
- Longview, TX
- NPI 1699733097
CHS Community Health Systems Inc, Community Health Systems Inc
-
dba Navarro Pediatrics
- Rural Health Clinic/Center
- Corsicana, TX
- NPI 1114370632
CHS Community Health Systems Inc, Community Health Systems Inc
-
dba Navarro Regional Hospital
- General Acute Care Hospital
- Corsicana, TX
- NPI 1144274226
CHS Community Health Systems Inc, Community Health Systems Inc
-
dba Navarro Family Clinic
- Rural Health Clinic/Center
- Corsicana, TX
- NPI 1730635202
CHS Community Health Systems Inc, Community Health Systems Inc
Subparts reporting this organization as parent 4
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Lake Granbury Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Granbury, TX
- NPI 1265403778
-
dba Lake Granbury Med Ctr ER Fall Creek
- Emergency Care Clinic/Center
- Granbury, TX
- NPI 1497659676
-
dba Lake Granbury Rehabilitation Services
- Rehabilitation Clinic/Center
- Granbury, TX
- NPI 1578467742
-
dba Lake Granbury Physical Therapy
- Rehabilitation Clinic/Center
- Glen Rose, TX
- NPI 1962306134
Practitioners & affiliated clinicians
Practitioners 18
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.
-
- Urology Physician
- Tyler, TX
- NPI 1093731788
-
- Obstetrics & Gynecology Physician
- Granbury, TX
- NPI 1487683066
-
- Vascular & Interventional Radiology Physician
- Garland, TX
- NPI 1376854752
-
- Family Medicine Physician
- Kaufman, TX
- NPI 1194715656
-
- Internal Medicine Physician
- Granbury, TX
- NPI 1669677159
-
- Neurology Physician
- Dallas, TX
- NPI 1649598285
-
- Pediatrics Physician
- Granbury, TX
- NPI 1205181302
-
- Internal Medicine Physician
- Stephenville, TX
- NPI 1609842525
-
- Pediatrics Physician
- Aledo, TX
- NPI 1659392058
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1346497831
-
- Obstetrics & Gynecology Physician
- Granbury, TX
- NPI 1700104650
-
- Pediatrics Physician
- Granbury, TX
- NPI 1568490423
Affiliated clinicians 316
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Critical Care Medicine (Internal Medicine) Physician
- Tyler, TX
- NPI 1033206602
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Fort Worth, TX
- NPI 1255587010
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
- NPI 1154587004
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756944000000",
"number": "1114998911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844842",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844842",
"telephone_number": "817-573-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 PALUXY RD",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485655",
"telephone_number": "817-573-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANBURY HOSPITAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-30",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A",
"authorized_official_last_name": "LALOR",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
"authorized_official_telephone_number": "629-215-3953"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TX",
"license": "000424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARRIS METH",
"identifier": "0011844",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5868806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "678291",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H04505964",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARRIS METH STAR",
"identifier": "002308",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "HH1971",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARKLAND COMM",
"identifier": "56125",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHIC MA",
"identifier": "K06782916",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "094178302",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METROWEST",
"identifier": "HASC05969",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake Granbury Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Granbury, TX
- Granbury Chiropractic Wellness Center
- Granbury Executive Transport, LLC
- Granbury Eye Care PC
- Granbury Family Med Clinic
- Granbury Hood County Emergency (Texas EMS)
- Granbury Hospital Corporation (Lake Granbury Medical Center)
- Granbury Hospital Corporation (Lake Granbury Med Ctr ER Fall Creek)
- Granbury Hospital Corporation (Lake Granbury Rehabilitation Services)
- Granbury II Enterprises, LLC (The Oaks of Granbury)
- Granbury Internal Medicine Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.