NPIMap

Organization Active NPI

North Runnels County Hospital

Doing business as North Runnels Hospital Clinic

  • Rural Health Clinic/Center
  • Winters, TX
National Provider Identifier
1255429155
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NORTH RUNNELS COUNTY HOSPITAL
Doing business as
North Runnels Hospital Clinic
Practice address
7571 State Highway 153
Winters, TX 79567-7439
Phone
(325) 754-1317
Fax
(325) 754-1208
NPI assigned
Oct 10, 2006
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Trace George
Title
Ceo
Phone
(325) 754-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

7571 State Highway 153
Winters, TX 79567-7439

Mailing address

PO Box 185
Winters, TX 79567-0185
Phone (325) 754-1317

Other identifiers 1

IdentifierTypeStateIssuer
020989204MedicaidTX

Other names 1

  • North Runnels Hospital Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324000437 TX Part B Supplier - Clinic/Group Practice 6507757812 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Winters, TX
O20050617000745 TX Part A Provider - Rural Health Clinic 6507757812 Practice locations: Winters, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255429155. Details of each certification follow.

Rural health clinic certification: CCN 458865

Legal name
NORTH RUNNELS COUNTY HOSPITAL
Doing business as
NRH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 7, 2005
Last certification
Mar 27, 2018
Ownership / control type
Non-profit – church related
Organization structure
GovernmentProprietary
Enrollment address
7571 State Highway 153
Winters, TX 79567-7439
Related CCNs
451315

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
45D1002189NRH Clinic7571 State Hwy 173, Winters, TX 79567Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Brandon Davis Individual Corporate DirectorDirector Nov 17, 2025
Jackie Don Black Individual Corporate Director Nov 18, 2024
Alicia Brooke Colburn Individual Corporate Director Nov 15, 2021
North Runnels County Hospital Organization, Winters, TX 5% Or Greater Direct Ownership Interest Jul 1, 2002
Operational/Managerial Control Jul 1, 2002
Steven Trace George Individual Corporate OfficerCeo Jun 17, 2024
W-2 Managing EmployeeAd; Jun 17, 2024
David P Hoelscher Individual Corporate Director Nov 19, 2018
Gary H Jacob Individual Corporate Director Nov 19, 2018
Johnny Bob Pritchard Individual Corporate Director Oct 16, 2023

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 2

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

FacilityTypeRoleSince
North Runnels HospitalWinters, TX, CCN 670784 Hospital Other (100%) Nov 1, 2000
North Runnels Home Health AgencyWinters, TX, CCN 458191 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 10, 1994

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1255429155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "WINTERS",
            "state": "TX",
            "postal_code": "795670185",
            "telephone_number": "325-754-1317",
            "fax_number": "325-754-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7571 STATE HIGHWAY 153",
            "city": "WINTERS",
            "state": "TX",
            "postal_code": "795677439",
            "telephone_number": "325-754-1317",
            "fax_number": "325-754-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RUNNELS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "TRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-754-1500"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020989204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Runnels Hospital Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Runnels Hospital Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winters, TX

Sources for this page

Verify at the official NPI Registry.