NPIMap

Organization Active NPI

Huntsville Community Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Huntsville, TX
National Provider Identifier
1134767882
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
HUNTSVILLE COMMUNITY HOSPITAL, INC.
Practice address
110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Phone
(936) 291-3411
Fax
(936) 291-4394
NPI assigned
Dec 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Mr. Paul Hanson
Title
Chief Financial Office
Phone
(936) 291-4514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

110 Memorial Hospital Dr
Huntsville, TX 77340-4940

Mailing address

PO Box 4001
Huntsville, TX 77342-4001
Phone (936) 291-3411

Other names 1

  • Huntsville 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
O20200407002936 TX Part A Provider - Hospital 6103255732 Practice locations: Huntsville, TX

Hospital certification: CCN 45T347

Legal name
HUNTSVILLE COMMUNITY HOSPITAL, INC.
Doing business as
HUNTSVILLE MEMORIAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Nov 5, 2019 in TX
Enrollment address
110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation unit

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).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Huntsville Memorial HospitalCCN 45T347
Ownership
Non-profit
Certified
Nov 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Huntsville Comm Hosp Inc4 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.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Community Hospital Consulting, Inc Organization, Plano, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 5, 2019 100%
Terry Scoggin Individual Corporate OfficerChief Executive Officer Jan 21, 2026
W-2 Managing EmployeeChief Executive Officer Jan 21, 2026
Jim Ronald Kendrick Individual Corporate DirectorPresident/ Chairman of the Board Feb 28, 2020
Paul Hanson Individual Corporate OfficerChief Financial Officer Sep 30, 2024
Joe Thomason Individual Corporate Director Feb 28, 2020
Charlotte Woodard Individual Corporate Director Feb 28, 2020

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

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": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1134767882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4001",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773424001",
            "telephone_number": "936-291-3411",
            "fax_number": "936-291-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEMORIAL HOSPITAL DR",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404940",
            "telephone_number": "936-291-3411",
            "fax_number": "936-291-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICE",
        "authorized_official_telephone_number": "936-291-4514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntsville Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Huntsville Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.