NPIMap

Organization Active NPI

DCS Medical PA

  • Rural Health Clinic/Center
  • Corsicana, TX
National Provider Identifier
1124762646
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DCS MEDICAL PA
Practice address
2901 W 7TH Ave
Corsicana, TX 75110-4811
Phone
(903) 616-0111
NPI assigned
Apr 21, 2022
Last updated
May 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Steven Hull
Title
Coo
Phone
(405) 445-1210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

2901 W 7TH Ave
Corsicana, TX 75110-4811

Mailing address

17253 China Spring Rd
China Spring, TX 76633-3154
Phone (254) 366-3154

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220603001221 TX Part A Provider - Rural Health Clinic 0042507600 Practice locations: Corsicana, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124762646. Details of each certification follow.

Rural health clinic certification: CCN 678901

Legal name
DCS MEDICAL PA
Doing business as
INTEGRITY URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 9, 2022
Last certification
Jul 16, 2025
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
May 27, 2016 in TX
Enrollment address
2901 W 7TH Ave
Corsicana, TX 75110-4811

Other NPIs with the same Medicare PAC ID 17

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

View all 17

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
45D2170697Integrity Urgent Care2901 West 7TH Ave, Corsicana, TX 75110Certificate of waiverAug 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
DCS Medical PA21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

2821 Highway 31 E
#101
Tyler, TX 75702
Phone (903) 253-9310

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
Foy E Dark Individual 5% Or Greater Direct Ownership InterestD.O./Associate Medical Director Jul 1, 2016 51%
Corporate DirectorD.O./Associate Medical Director Jul 1, 2016
W-2 Managing EmployeeD.O. Apr 6, 2016
Xpress Wellness LLC Organization, Oklahoma City, OK Management services company Operational/Managerial Control Apr 15, 2022
Tony Hill Individual 5% Or Greater Direct Ownership InterestCmo Nov 1, 2022 49%
Corporate OfficerCmo Nov 1, 2022 100%

Owners & managing parties with NPI records 2

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

  • Foy Edward Dark III, DO
    • Emergency Medicine Physician
    • Waco, TX
    • NPI 1003928060

    5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

    CMS ownership
  • Tony R Hill, DO
    • Emergency Medical Services (Emergency Medicine) Physician
    • Broken Arrow, OK
    • NPI 1295723245

    5% Or Greater Direct Ownership Interest, Corporate Officer

    CMS ownership

Facilities with the same owner 46

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

View all 46

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1124762646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17253 CHINA SPRING RD",
            "city": "CHINA SPRING",
            "state": "TX",
            "postal_code": "766333154",
            "telephone_number": "254-366-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W 7TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104811",
            "telephone_number": "903-616-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCS MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-05-24",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "405-445-1210"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.