Guadalupe County Hospital Board

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GUADALUPE COUNTY HOSPITAL BOARD

Practice address

2001 Scenic Dr
Georgetown, TX 78626-7725

Phone

(512) 863-9511

NPI assigned

Jan 11, 2016

Organization subpart

No

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

Authorized official

Name

Penny Wallace

Title

Cfo

Phone

(830) 401-7220

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Wesleyan at Scenic Doing business as

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1265898985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267725",
            "telephone_number": "512-863-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267725",
            "telephone_number": "512-863-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE COUNTY HOSPITAL BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "830-401-7220"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "675727",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000423601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wesleyan at Scenic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Wesleyan at Scenic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura M Grest, PT, DPT
• Rhonda M Griffin, LPC
• Scott Karr Griggs, PHARMD, PHD, RPH
• Griselda Pattillo, LCSW PLLC
• Emily Wilburn Grooms, M.A., CCC-SLP
• Guadalupe County Hospital Board
• Carly Gubin
• Supraja R. Gulla, MD
• Jeffrey Gunter, FDN-P, CFMHC
• Nadia Gutierrez

• Skilled Nursing Facility in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.