NPIMap

Organization Active NPI

Huntsville Community Hospital, Inc.

Doing business as Huntsville Memorial Hospital

  • General Acute Care Hospital
  • Huntsville, TX
National Provider Identifier
1245878990
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HUNTSVILLE COMMUNITY HOSPITAL, INC.
Doing business as
Huntsville Memorial Hospital
Practice address
110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Phone
(936) 291-3411
Fax
(936) 291-4373
NPI assigned
Dec 12, 2019
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Mr. Paul Hanson
Title
Chief Financial Officer
Phone
(936) 291-4514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

110 Memorial Hospital Dr
Huntsville, TX 77340-4940

Mailing address

PO Box 4001
Huntsville, TX 77342-4001
Phone (936) 291-4311

Other names 1

  • Huntsville Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200402003342 TX Part A Provider - Hospital 6103255732 Practice locations: Huntsville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245878990. Details of each certification follow.

Hospital certification: CCN 450347

Legal name
HUNTSVILLE COMMUNITY HOSPITAL, INC.
Doing business as
HUNTSVILLE MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 2, 2025
Beds
144 (123 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 28, 2020 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Nov 5, 2019 in TX
Enrollment address
110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Huntsville Memorial HospitalCCN 450347 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Huntsville Community Hospital Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Community Hospital Consulting, Inc Organization, Plano, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 28, 2020 100%
Patrick J Shannon Individual Corporate OfficerChief Executive Officer Jun 14, 2021
W-2 Managing EmployeeChief Executive Officer Jun 14, 2021
Jim Ronald Kendrick Individual Corporate DirectorPresident and Chairman of the Bo Feb 28, 2020
Paul Hanson Individual Corporate OfficerChief Financial Officer Sep 30, 2024
Joe Thomason Individual Corporate Director Feb 28, 2020
Charlotte Woodard Individual Corporate Director Feb 28, 2020

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 13

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 13

Affiliated clinicians 190

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 190

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1245878990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4001",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773424001",
            "telephone_number": "936-291-4311",
            "fax_number": "936-291-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEMORIAL HOSPITAL DR",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404940",
            "telephone_number": "936-291-3411",
            "fax_number": "936-291-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "936-291-4514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntsville Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Huntsville Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.