NPIMap

Organization Active NPI

Frio Hospital Association

Doing business as ReadyCare-Dilley

  • Rural Health Clinic/Center
  • Dilley, TX
National Provider Identifier
1255977211
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FRIO HOSPITAL ASSOCIATION
Doing business as
ReadyCare-Dilley
Practice address
801 FM W 117
Dilley, TX 78017
Phone
(830) 334-2058
NPI assigned
Nov 25, 2019
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FRIO HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Ms. Monica Ann Martinez
Title
Rural Health Clinic Director
Phone
(830) 334-2058

Specialties & licenses 1

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

Addresses

Primary practice location

801 FM W 117
Dilley, TX 78017

Mailing address

200 S Interstate 35
Pearsall, TX 78061-6601
Phone (830) 334-2058

Other names 1

  • ReadyCare-Dilley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200608001418 TX Part A Provider - Rural Health Clinic 4981599693 Receives reassigned benefits from 1 practitioner
Practice locations: Dilley, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255977211. Details of each certification follow.

Rural health clinic certification: CCN 673493

Legal name
FRIO HOSPITAL ASSOCIATION
Doing business as
READYCARE-DILLEY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 15, 2020
Last certification
Jan 11, 2024
Ownership / control type
2B
Organization structure
OtherNon-profit
Incorporated
May 19, 1958 in TX
Enrollment address
801 W FM 117
Dilley, TX 78017-3409
Related CCNs
451391

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Frio Hospital Association4 organizations share this tax ID, including this one
Part of
Frio Hospital Association

Other organizations with this tax ID 3

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

Locations

801 W FM 117
Dilley, TX 78017
Phone (830) 326-3171

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Michael Ruff Individual Corporate DirectorCfo Sep 29, 2021
W-2 Managing EmployeeCfo Sep 29, 2021
John Hughson Individual Corporate OfficerCeo Dec 1, 2020
Corporate DirectorCeo Dec 1, 2020
W-2 Managing EmployeeCeo Dec 1, 2020

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Frio Hospital Home Health AgencyPearsall, TX, CCN 677014 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2011

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 12

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": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1255977211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S INTERSTATE 35",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780616601",
            "telephone_number": "830-334-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 FM W 117",
            "city": "DILLEY",
            "state": "TX",
            "postal_code": "78017",
            "telephone_number": "830-334-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIO HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRIO HOSPITAL ASSOCIATION",
        "enumeration_date": "2019-11-25",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RURAL HEALTH CLINIC DIRECTOR",
        "authorized_official_telephone_number": "830-334-2058",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReadyCare-Dilley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dilley, TX

Sources for this page

Verify at the official NPI Registry.