Active NPI
North Bay General Hospital, Inc.
Doing business as Care Regional Medical Center
- General Acute Care Hospital
- Aransas Pass, TX
National Provider Identifier
1245315647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 100053
- Legal business name
- NORTH BAY GENERAL HOSPITAL, INC.
- Doing business as
- Care Regional Medical Center
- Practice address
- 1711 W Wheeler Ave
Aransas Pass, TX 78336-4536 - Phone
- (361) 758-8585
- Fax
- (361) 758-3547
- NPI assigned
- Oct 25, 2006
- Last updated
- Nov 10, 2010
- Organization subpart
- Yes
- Parent organization
- CARE HOLDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jacob Quintana
- Title
- Administrator
- Phone
- (361) 758-0502
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 100053 | TX | |
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 100053 | TX | |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | 100053 | TX | |
| General Acute Care Hospital | 282N00000X | 100053 | TX | Primary |
Addresses
Primary practice location
1711 W Wheeler Ave
Aransas Pass, TX 78336-4536
Mailing address
1711 W Wheeler Ave
Aransas Pass, TX 78336-4536
Phone (361) 758-8585
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0225187-01 | Medicaid | TX | |
| 0209330-01 | Medicaid | TX | |
| HH3596 | Other | BC/BS PSYCH | |
| HH0596 | Other | BC/BS | |
| 1218455-03 | Medicaid | TX |
Other names 1
- Care Regional Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1245315647. Details of each certification follow.
Hospital certification: CCN 450605
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CARE REGIONAL MEDICAL CENTER
- Certification status
- Terminated Voluntary: merger or closure, Mar 13, 2019
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jan 18, 1971
- Last certification
- Oct 12, 2016
- Beds
- 75
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Mar 11, 2010 (5 total)
- Facility address
- 1711 W Wheeler Avenue
Aransas Pass, TX 78336
National Provider Directory
National Provider Directory- Part of
- Care Holdings
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Aransas Pass, TX
- NPI 1568763449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289347200000",
"number": "1245315647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 W WHEELER AVE",
"city": "ARANSAS PASS",
"state": "TX",
"postal_code": "783364536",
"telephone_number": "361-758-8585",
"fax_number": "361-758-3547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 W WHEELER AVE",
"city": "ARANSAS PASS",
"state": "TX",
"postal_code": "783364536",
"telephone_number": "361-758-8585",
"fax_number": "361-758-3547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BAY GENERAL HOSPITAL, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARE HOLDINGS LLC",
"enumeration_date": "2006-10-25",
"last_updated": "2010-11-10",
"status": "A",
"authorized_official_last_name": "QUINTANA",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "361-758-0502",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "TX",
"license": "100053",
"primary": false
},
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "TX",
"license": "100053",
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": "TX",
"license": "100053",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TX",
"license": "100053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0225187-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0209330-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PSYCH",
"identifier": "HH3596",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "HH0596",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1218455-03",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Regional Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Aransas Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.