NPIMap

Organization Active NPI

Rolling Plains Memorial Hospital

  • General Practice Physician
  • Sweetwater, TX
National Provider Identifier
1154864858
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ROLLING PLAINS MEMORIAL HOSPITAL
Practice address
201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone
(325) 235-1701
Fax
(325) 235-8705
NPI assigned
Nov 29, 2016
Last updated
May 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Julie Hall
Title
Senior Director
Phone
(325) 235-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

201 E Arizona Ave
Sweetwater, TX 79556-7119

Mailing address

PO Box 690
Sweetwater, TX 79556-0690
Phone (325) 235-1701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170215000548 TX Part B Supplier - Clinic/Group Practice 4688575228 Receives reassigned benefits from 23 practitioners
Practice locations: Sweetwater, TX

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Rolling Plain Mem Hosp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/rolling-5861da2b

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Rolling Plains Memorial HospitalSweetwater, TX, CCN 450055 Hospital Operational/Managerial Control Aug 10, 2010
Rolling Plains Memorial HospitalSweetwater, TX, CCN 45U055 Hospital Operational/Managerial Control Aug 10, 2010
Rolling Plains Home HealthSweetwater, TX, CCN 677027 Home health agency Operational/Managerial Control Oct 1, 2011
Rolling Plains Memorial HospitalSweetwater, TX, CCN 673439 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2016
Feb 1, 2016

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1154864858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795560690",
            "telephone_number": "325-235-1701",
            "fax_number": "325-235-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567119",
            "telephone_number": "325-235-1701",
            "fax_number": "325-235-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING PLAINS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "325-235-1701"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

Verify at the official NPI Registry.