Ascension Seton
Organization Active NPI Rural Health Clinic/Center · Kingsland, TX
NPI 1205263134 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1205263134
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 00559 (TX)
- Legal business name
- ASCENSION SETON
- Practice address
- 525 Ranch Road 2900
Kingsland, TX 78639-6000 - Phone
- (512) 715-3106
- Fax
- (325) 388-6935
- NPI assigned
- Oct 10, 2013
- Organization subpart
- No
Authorized official
- Name
- William Davis
- Title
- President Ceo
- Phone
- (512) 324-1867
Owners & managing parties with NPI records 3
-
Dave F Clarke, MD
-
Erica J Hughes, MD
-
Jeffrey T Manning, M.D.
Related certifications (CCN) 1
Facilities with the same owner 162
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2046177 | Ascension Seton Kingsland Health Center | Certificate of waiver | Aug 27, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Rural health clinic certification: CCN 673450
- Legal name
- ASCENSION SETON
- Doing business as
- ASCENSION SETON KINGSLAND HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 23, 2017
- Last certification
- Jan 14, 2026
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 1, 1999 in TX
- Enrollment address
- 525 Ranch Road 2900
Kingsland, TX 78639-6000 - Related CCNs
- 451365
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Chris Wheeler |
Corporate Director |
Jul 1, 2022 | |
| Erica Hughes |
Operational/Managerial Control | Apr 15, 2023 | |
| William Andy Davis |
Corporate Director |
Nov 27, 2017 | |
| W-2 Managing Employee |
Nov 27, 2017 | ||
| Ascension Seton |
5% Or Greater Direct Ownership Interest | Oct 1, 2013 | 100% |
| Karen Kennards |
Corporate Director | Nov 21, 2024 | |
| Ascension Texas |
5% Or Greater Indirect Ownership Interest | Oct 1, 2013 | |
| Ashley M Dickinson |
W-2 Managing Employee |
Aug 1, 2023 | |
| Jeffrey T Manning |
Corporate Director |
Jul 1, 2020 | |
| Julie Holly |
Corporate Director |
Jan 23, 2017 | |
| W-2 Managing Employee |
Jan 23, 2017 | ||
| John Patrick Atkins |
Corporate Director |
Jul 1, 2022 | |
| Karen Litterer |
W-2 Managing Employee |
Aug 2, 2015 | |
| Ascension Health |
5% Or Greater Indirect Ownership Interest | Oct 1, 2013 | |
| Dave F Clarke |
Corporate Director |
Jul 1, 2021 |
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 |
| Children'S Care-a-Van |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 19, 1998 |
| 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 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 |
|---|---|---|---|---|
| O20140228001646 | TX | Part a Provider - Rural Health Clinic | 5193634293 | Practice locations: Kingsland, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | 00559 | TX | Yes |
Addresses
Primary practice location
525 Ranch Road 2900
Kingsland, TX 78639-6000
Mailing address
PO Box 204229
Dallas, TX 75320-4229
Phone (325) 388-6912
Other names
- Ascension Seton Kingsland Health Center
Other providers in Kingsland, TX
- 3 Robert LLC
- Brooke Ash Alexander
- Ryan P Allen
- Holly Beats
- Taylor Ann Brooks
- Central Texas Family Dentistry PC
- Central TX Chiropractic & Rehabilitation Clinics, Inc
- Concho County Hospital
All providers in Kingsland, 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 Sep 11, 2023. 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.