Organization Active NPI

Ascension Seton

Doing business as Ascension Seton Lockhart Health Center

  • Rural Health Clinic/Center
  • Lockhart, TX
National Provider Identifier
1235234576
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ASCENSION SETON
Doing business as
Ascension Seton Lockhart Health Center
Practice address
300 S Colorado St
Suites a-D
Lockhart, TX 78644-2707
Phone
(512) 376-9690
NPI assigned
Sep 13, 2006
Last updated
Apr 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION SETONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Mr. Craig Cordola
Title
Cfo
Phone
(512) 324-1000

Specialties & licenses 1

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

Addresses

Primary practice location

300 S Colorado St
Suites a-D
Lockhart, TX 78644-2707

Mailing address

1345 Philomena St.
Austin, TX 78723-3185

Other identifiers 1

IdentifierTypeStateIssuer
147758001MedicaidTX

Other names 1

  • Ascension Seton Lockhart 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
O20030403000010 TX Part A Provider - Rural Health Clinic 5193634293 Practice locations: Lockhart, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235234576. Details of each certification follow.

Rural health clinic certification: CCN 458819

Legal name
ASCENSION SETON
Doing business as
ASCENSION SETON LOCKHART HEALTH CENTER COLORADO
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 26, 2001
Last certification
Jan 7, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Apr 5, 1900 in TX
Enrollment address
300 S Colorado St
Ste a-D
Lockhart, TX 78644-2700
Related CCNs
451371

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

National Provider Directory

National Provider Directory
Tax ID family
Seton Healthcare Network56 organizations share this tax ID, including this one
Part of
Seton Healthcare Network

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
John Thresher Individual Corporate DirectorVice Chair Board of Directors Aug 12, 2024
W-2 Managing EmployeeChief Strategy Officer Aug 12, 2024
Andrew Lane Individual Corporate DirectorSecretary & Treasurer Board of Dir Feb 17, 2025
W-2 Managing EmployeeCfo Ascension Texas Feb 17, 2025
James Ramzey Youssef Individual W-2 Managing EmployeePresident, Ceo, Ascension Texas Jun 1, 2025
Ascension Seton Organization, Austin, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2009
Operational/Managerial Control Feb 1, 2009
Ascension Texas Organization, Austin, TX Corporation, Non-profit Operational/Managerial Control Jan 1, 2011
Ashley M Dickinson Individual W-2 Managing EmployeeChief Operating Officer Aug 1, 2023
Julie Holly Individual W-2 Managing EmployeeReimbursement Director Oct 1, 2013
Arjun Mohandas Individual Operational/Managerial ControlMedical Director Jul 1, 2023
Jace Davis Jones Individual W-2 Managing EmployeeAd; Jun 4, 2023
Ascension Health Organization, Saint Louis, MO Corporation, Non-profit Operational/Managerial Control Jun 20, 2006

Owners & managing parties with NPI records 1

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 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 Kingsland Health CenterKingsland, TX, CCN 673450 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2013
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

Practitioners & affiliated clinicians

Practitioners 48

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 48

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1235234576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 PHILOMENA ST.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S COLORADO ST",
            "address_2": "SUITES A-D",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442707",
            "telephone_number": "512-376-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION SETON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION SETON",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "CORDOLA",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-324-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147758001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Seton Lockhart Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lockhart, TX

Sources for this page

Verify at the official NPI Registry.