Ascension Seton
Organization Active NPI Rural Health Clinic/Center · Lockhart, TX
NPI 1144325481 · NPPES record last updated Jan 28, 2020
Key facts
- NPI
- 1144325481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ASCENSION SETON
- Practice address
- 300 S Colorado St
Lockhart, TX 78644-2700 - Phone
- (512) 398-1942
- NPI assigned
- Sep 13, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ASCENSION SETON
Authorized official
- Name
- Mr. William Davis
- Title
- President & Ceo
- Phone
- (512) 324-1000
Owners & managing parties with NPI records 1
-
Arjun Mohandas, M.D.
Corporate family (same tax ID) 49
Related certifications (CCN) 2
Facilities with the same owner 162
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1017784 | Children'S Care a Van | Certificate of waiver | Oct 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Rural health clinic certification: CCN 458845
- Legal name
- ASCENSION SETON
- Doing business as
- CHILDREN'S CARE-A-VAN
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Mar 29, 2004
- Last certification
- Oct 4, 2017
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 5, 1900 in TX
- Enrollment address
- 300 S Colorado St
Lockhart, TX 78644-2700 - Related CCNs
- 451371
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Steven Brockman-Weber |
W-2 Managing Employee |
Feb 11, 2019 | |
| John Thresher |
Corporate Director |
Aug 12, 2024 | |
| W-2 Managing Employee |
Aug 12, 2024 | ||
| Andrew Lane |
Corporate Director |
Feb 17, 2025 | |
| W-2 Managing Employee |
Feb 17, 2025 | ||
| James Ramzey Youssef |
Corporate Officer |
Jun 1, 2025 | |
| W-2 Managing Employee |
Jun 1, 2025 | ||
| Ascension Seton |
5% Or Greater Direct Ownership Interest | Dec 19, 1998 | 100% |
| Ascension Texas |
Operational/Managerial Control | May 1, 2012 | |
| Ashley M Dickinson |
Corporate Director |
Aug 1, 2023 | |
| W-2 Managing Employee |
Aug 1, 2023 | ||
| Julie Holly |
W-2 Managing Employee |
Jul 1, 2013 | |
| Arjun Mohandas |
W-2 Managing Employee |
Mar 29, 2004 | |
| Jace Davis Jones |
W-2 Managing Employee |
Jun 14, 2021 | |
| Karen Litterer |
W-2 Managing Employee |
Oct 31, 2016 | |
| Ascension Health |
Operational/Managerial Control | Jun 20, 2006 |
All facility ownership & control disclosures 32
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension Seton Southwest |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 20, 2000 |
| Ascension Seton Northwest |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2003 Feb 1, 2009 |
| Ascension Seton Medical Center Austin |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Apr 5, 1900 Apr 5, 1900 |
| Dell Seton Medical Center at the University of Texas |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Feb 1, 2009 Feb 1, 2009 |
| Ascension Seton Highland Lakes |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 20, 2006 |
| Ascension Seton Edgar B Davis |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Feb 1, 1999 Feb 1, 1999 |
| Northwest Hills Surgical Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (51%) | Jul 1, 2020 |
| Dell Children'S Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
May 15, 2007 May 15, 2007 |
| Central Texas Rehabilitation Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (20%) | Jul 25, 2007 |
| Ascension Seton Williamson |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2008 |
| Ascension Seton Cedar Park |
Hospital | Operational/Managerial Control | Jun 30, 2025 |
| Ascension Seton Edgar B. Davis |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 1999 |
| Ascension Seton Hays |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Sep 1, 2009 Sep 1, 2009 |
| Ascension Seton Highland Lakes |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jun 20, 2006 Jun 20, 2006 |
| Seton Medical Center Harker Heights |
Hospital | 5% Or Greater Direct Ownership Interest (20%) | Jun 18, 2012 |
| Cross Creek Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (11.8%) | Aug 18, 2025 |
| Pam Rehabilitation Hospital of Round Rock |
Hospital | 5% Or Greater Direct Ownership Interest (25%) | Apr 7, 2017 |
| Ascension Seton Smithville |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| Ascension Seton Smithville |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
| Ascension Seton Lockhart Health Center Colorado |
Rural health clinic | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Feb 1, 2009 Feb 1, 2009 |
| Ascension Seton Burnet Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Dec 16, 2002 Dec 16, 2002 |
| Children'S Care-a-Van |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2003 |
| Ascension Seton Bertram Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Dec 8, 2006 Dec 8, 2006 |
| Ascension Seton Lampasas Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2008 May 1, 2008 |
| Ascension Seton Kingsland Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2013 |
| Ascension Seton Luling Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2013 |
| Ascension Seton Lockhart Health Center Commerce |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 15, 2017 |
| Ascension Seton Lockhart Health Center Church |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 15, 2017 |
| Ascension Seton Bastrop Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 2, 2018 |
| Ascension Seton Smithville Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Feb 20, 2018 |
| Ascension Seton Elgin Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 2, 2020 |
| Ascension Seton Dripping Springs Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Nov 9, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061003000294 | TX | Part a Provider - Rural Health Clinic | 5193634293 | Practice locations: Lockhart, TX |
National Provider Directory
- Tax ID family
- Ascension Seton
- Part of
- Ascension Seton
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | TX | Yes |
Addresses
Primary practice location
300 S Colorado St
Lockhart, TX 78644-2700
Mailing address
1345 Philomena St
Ste 362
Austin, TX 78723-3185
Phone (512) 324-9999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174708101 | Medicaid | TX |
Other names
- Childrens Care A Van
Other providers in Lockhart, TX
- Aaa Plus Management Solutions LLC
- Sherilyn Ann Adcock
- Keeley Sarie Armes
- Ascension Seton
- Ascension Seton
- Ascension Seton
- Austin Neurosurgical and Spine Institute, PA
- Rachel Eloise Bardshar
All providers in Lockhart, TX · Rural Health Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.