NPIMap

Organization Active NPI

Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
National Provider Identifier
1124052162
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000064 Issued in TX
Legal business name
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
Practice address
2701 Hospital Dr
Victoria, TX 77901-5748
Phone
(361) 573-9181
Fax
(361) 572-5126
NPI assigned
Jul 10, 2006
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Mr. Michael Olson
Title
Chief Executive Officer
Phone
(361) 572-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 000064 TX Primary

Addresses

Primary practice location

2701 Hospital Dr
Victoria, TX 77901-5748

Mailing address

2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 573-9181

Other identifiers 2

IdentifierTypeStateIssuer
137907508MedicaidTX
HH0234OtherTXBLUE CROSS BLUE SHIELD OF TEXAS

Other names 1

  • County of Victoria Citizens Medical Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071220000110 TX Part A Provider - Hospital 9537139845 Practice locations: Victoria, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124052162. Details of each certification follow.

Hospital certification: CCN 450023

Legal name
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
Doing business as
CITIZENS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 5, 2020
Beds
265
Ownership / control type
Other
Organization structure
OtherNon-profit
Incorporated
Sep 1, 1956 in TX
Enrollment address
2701 Hospital Dr
Victoria, TX 77901-5748
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Citizens Medical CenterCCN 450023 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0498702Citizens Medical Center Laboratory2701 Hospital Drive, Victoria, TX 77901AccreditationOct 27, 2026

National Provider Directory

National Provider Directory

Locations (25 of 222)

1062 E Houston St
Ste C
Beeville, BEEVILLE 78102

6700 N Andrews Ave
Ste 600
Fort Lauderdale, FL 33309

2575 Northwinds Pkwy
Alpharetta, GA 30009
Phone (602) 492-1933

14650 E Old US Highway 12
Ste 308
Chelsea, MI 48118
Phone (734) 475-3221

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

8100 SW Nyberg St
Ste 400
Tualatin, OR 97062

101 12 Swift St
Refugio, REFUGIO 78377

107 W 7TH St
Shiner, SHINER 77984

201 Mariposa
Alice, TX 78332
Phone (361) 664-8811

1711 W Wheeler Ave
Ste I
Aransas Pass, TX 78336

1305 W 34th St
Ste 400
Austin, TX 78705
Phone (512) 459-6599

7940 Shoal Creek Blvd
Ste 205
Austin, TX 78757
Phone (512) 454-8378

900 W 38th St
Ste 300
Austin, TX 78705
Phone (512) 450-1300

9011 Mountain Ridge Dr
Ste 100
Austin, TX 78759

101 Avenue F N
Bay City, TX 77414

1809 Merlin St
Bay City, TX 77414
Phone (832) 489-4373

1003 N Saint Marys St
Beeville, TX 78102
Phone (361) 492-5252

1211 E Houston St
Ste A
Beeville, TX 78102

711 E Houston St
Beeville, TX 78102
Phone (361) 358-1000

524 Singing Oaks
Ste 120
Bulverde, TX 78070
Phone (210) 291-2101

109 Shult Dr
Ste 102
Columbus, TX 78934
Phone (409) 732-6263

2122 Highway 71 S
Columbus, TX 78934
Phone (979) 732-2318

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

10838 Leopard St
Corpus Christi, TX 78410
Phone (361) 387-9496

1101 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 257-1427

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Michael R Olson Individual Corporate Director Aug 20, 2012
Operational/Managerial ControlChief Executive Officer Aug 20, 2012
Duane Woods Individual Corporate OfficerChief Financial Officer Sep 6, 2016 100%
Citizens Medical Center County of Victoria Organization, Victoria, TX 5% Or Greater Direct Ownership Interest Jul 1, 1966

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Stevens Nursing and Rehabilitation Center of HallettsvilleHallettsville, TX, CCN 675226 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Mar 1, 2014
Mar 1, 2014
Mar 1, 2014
Wharton Nursing and Rehabilitation CenterWharton, TX, CCN 675361 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 1, 2014
Mar 1, 2014
Mar 28, 2025
Port Lavaca Nursing and Rehabilitation CenterPort Lavaca, TX, CCN 455999 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Mar 1, 2014
Mar 1, 2014
Mar 27, 2025
Southbrooke Manor Nursing and Rehabilitation CenterEdna, TX, CCN 675159 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Mar 1, 2014
Mar 1, 2014
Mar 27, 2025
Cuero Nursing and Rehabilitation CenterCuero, TX, CCN 675110 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Mar 1, 2014
Mar 1, 2014
Mar 26, 2025

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 1,787

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.

View all 1,787

Affiliated clinicians 312

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

View all 312

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1124052162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015748",
            "telephone_number": "361-573-9181",
            "fax_number": "361-572-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015748",
            "telephone_number": "361-573-9181",
            "fax_number": "361-572-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS MEDICAL CENTER COUNTY OF VICTORIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "361-572-5113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137907508",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "HH0234",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County of Victoria Citizens Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.