NPIMap

Organization Active NPI

Rolling Plains Memorial Hospital

Doing business as RPMH Rural Health Clinic

  • Rural Health Clinic/Center
  • Sweetwater, TX
National Provider Identifier
1174982540
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
000471 Issued in TX
Legal business name
ROLLING PLAINS MEMORIAL HOSPITAL
Doing business as
RPMH Rural Health Clinic
Practice address
201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone
(325) 235-8641
NPI assigned
Feb 15, 2016
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Julie Hall
Title
VP Business Services
Phone
(325) 235-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 000471 TX Primary

Addresses

Primary practice location

201 E Arizona Ave
Sweetwater, TX 79556-7119

Mailing address

PO Box 690
Sweetwater, TX 79556-0690
Phone (325) 235-8641

Other names 1

  • RPMH Rural Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160415000442 TX Part A Provider - Rural Health Clinic 4688575228 Practice locations: Sweetwater, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174982540. Details of each certification follow.

Rural health clinic certification: CCN 673439

Legal name
ROLLING PLAINS MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 29, 2016
Last certification
Jan 21, 2025
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
201 E Arizona Ave
Sweetwater, TX 79556-7119
Related CCNs
450055

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

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
45D0892793RPMH Rural Health Clinic Lab201 East Arizona Ave, Sweetwater, TX 79556Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
St Ville Joseph9 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.

Locations

201 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Sarah Jones Individual Corporate DirectorDirector of Revenue Cycle Dec 15, 2025
W-2 Managing EmployeeDirector of Revenue Cycle Dec 15, 2025
Rolling Plains Memorial Hospital Organization, Sweetwater, TX 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Operational/Managerial Control Feb 1, 2016 100%
Douglas K Dippel Individual Corporate DirectorCeo May 7, 2020
W-2 Managing EmployeeCeo May 7, 2020
Jeffrey Kaller Individual Corporate DirectorChief Financial Officer Dec 15, 2025
W-2 Managing EmployeeChief Financial Officer Dec 15, 2025

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 3

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

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1174982540",
    "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": "325-235-8641"
        },
        {
            "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": "325-235-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING PLAINS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VP BUSINESS SERVICES",
        "authorized_official_telephone_number": "325-235-1701"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "000471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RPMH Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sweetwater, TX

Sources for this page

Verify at the official NPI Registry.