Organization Active NPI

Ascension Seton

Doing business as Ascension Seton Kingsland Health Center

  • Rural Health Clinic/Center
  • Kingsland, TX
National Provider Identifier
1205263134
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
00559 Issued in TX
Legal business name
ASCENSION SETON
Doing business as
Ascension Seton Kingsland Health Center
Practice address
525 Ranch Road 2900
Kingsland, TX 78639-6000
Phone
(512) 715-3106
Fax
(325) 388-6935
NPI assigned
Oct 10, 2013
Last updated
Sep 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
William Davis
Title
President Ceo
Phone
(512) 324-1867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X 00559 TX Primary

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 1

  • Ascension Seton Kingsland Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140228001646 TX Part A Provider - Rural Health Clinic 5193634293 Practice locations: Kingsland, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205263134. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Nov 1, 1999 in TX
Enrollment address
525 Ranch Road 2900
Kingsland, TX 78639-6000
Related CCNs
451365

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

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
45D2046177Ascension Seton Kingsland Health Center525 Ranch Road 2900, Kingsland, TX 78639Certificate of waiverAug 27, 2026

National Provider Directory

National Provider Directory

Locations

525 Ranch Road 2900
Kingsland, TX 78639
Phone (512) 715-3032

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Chris Wheeler Individual Corporate DirectorDirector Jul 1, 2022
Erica Hughes Individual Operational/Managerial Control Apr 15, 2023
William Andy Davis Individual Corporate DirectorPresident Ceo Ascension Texas Nov 27, 2017
W-2 Managing EmployeePresident Ceo Ascension Texas Nov 27, 2017
Ascension Seton Organization, Austin, TX Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2013 100%
Karen Kennards Individual Corporate Director Nov 21, 2024
Ascension Texas Organization, Austin, TX Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2013
Ashley M Dickinson Individual W-2 Managing EmployeeChief Operating Officer, Ascension Aug 1, 2023
Jeffrey T Manning Individual Corporate DirectorDirector Jul 1, 2020
Julie Holly Individual Corporate DirectorSenior Director Net Revenue Jan 23, 2017
W-2 Managing EmployeeSenior Director Net Revenue Jan 23, 2017
John Patrick Atkins Individual Corporate DirectorDirector Jul 1, 2022
Karen Litterer Individual W-2 Managing EmployeeHospital President/Administrator Aug 2, 2015
Ascension Health Organization, Saint Louis, MO Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2013
Dave F Clarke Individual Corporate DirectorDirector Jul 1, 2021

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 32

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

FacilityTypeRoleSince
Ascension Seton SouthwestAustin, TX, CCN 450865 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 20, 2000
Ascension Seton NorthwestAustin, TX, CCN 450867 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2003
Feb 1, 2009
Ascension Seton Medical Center AustinAustin, TX, CCN 450056 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Apr 5, 1900
Apr 5, 1900
Dell Seton Medical Center at the University of TexasAustin, TX, CCN 450124 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Feb 1, 2009
Feb 1, 2009
Ascension Seton Highland LakesBurnet, TX, CCN 451365 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 20, 2006
Ascension Seton Edgar B DavisLuling, TX, CCN 45Z371 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Feb 1, 1999
Feb 1, 1999
Northwest Hills Surgical HospitalAustin, TX, CCN 450808 Hospital 5% Or Greater Indirect Ownership Interest (51%) Jul 1, 2020
Dell Children's Medical CenterAustin, TX, CCN 453310 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
May 15, 2007
May 15, 2007
Central Texas Rehabilitation HospitalAustin, TX, CCN 673027 Hospital 5% Or Greater Direct Ownership Interest (20%) Jul 25, 2007
Ascension Seton WilliamsonRound Rock, TX, CCN 670041 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2008
Ascension Seton Cedar ParkCedar Park, TX, CCN 670043 Hospital Operational/Managerial Control Jun 30, 2025
Ascension Seton Edgar B. DavisLuling, TX, CCN 451371 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 1999
Ascension Seton HaysKyle, TX, CCN 670056 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Sep 1, 2009
Sep 1, 2009
Ascension Seton Highland LakesBurnet, TX, CCN 45Z365 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Jun 20, 2006
Jun 20, 2006
Seton Medical Center Harker HeightsHarker Heights, TX, CCN 670080 Hospital 5% Or Greater Direct Ownership Interest (20%) Jun 18, 2012
Cross Creek HospitalAustin, TX, CCN 454133 Hospital 5% Or Greater Direct Ownership Interest (11.8%) Aug 18, 2025
Pam Rehabilitation Hospital of Round RockRound Rock, TX, CCN 673069 Hospital 5% Or Greater Direct Ownership Interest (25%) Apr 7, 2017
Ascension Seton SmithvilleSmithville, TX, CCN 671304 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2024
Ascension Seton SmithvilleSmithville, TX, CCN 67Z304 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2024
Ascension Seton Lockhart Health Center ColoradoLockhart, TX, CCN 458819 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Feb 1, 2009
Feb 1, 2009
Ascension Seton Burnet Health CenterBurnet, TX, CCN 458825 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Dec 16, 2002
Dec 16, 2002
Children's Care-a-VanBurnet, TX, CCN 458844 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2003
Children's Care-a-VanLockhart, TX, CCN 458845 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 19, 1998
Ascension Seton Bertram Health CenterBertram, TX, CCN 458876 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Dec 8, 2006
Dec 8, 2006
Ascension Seton Lampasas Health CenterLampasas, TX, CCN 458887 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
May 1, 2008
May 1, 2008
Ascension Seton Luling Health CenterLuling, TX, CCN 673449 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2013
Ascension Seton Lockhart Health Center CommerceLockhart, TX, CCN 673463 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 15, 2017
Ascension Seton Lockhart Health Center ChurchLockhart, TX, CCN 673462 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 15, 2017
Ascension Seton Bastrop Health CenterBastrop, TX, CCN 673470 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 2, 2018
Ascension Seton Smithville Health CenterSmithville, TX, CCN 673469 Rural health clinic 5% Or Greater Direct Ownership Interest Feb 20, 2018
Ascension Seton Elgin Health CenterElgin, TX, CCN 673484 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2020
Ascension Seton Dripping Springs Health CenterDripping Springs, TX, CCN 678549 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 9, 2020

Facilities with the same owner 162

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

View all 162

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1205263134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204229",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753204229",
            "telephone_number": "325-388-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 RANCH ROAD 2900",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "786396000",
            "telephone_number": "512-715-3106",
            "fax_number": "325-388-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION SETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "512-324-1867"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "00559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Seton Kingsland Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsland, TX

Sources for this page

Verify at the official NPI Registry.