NPIMap

Organization Active NPI

Dimmit Regional Hospital District

  • Home Health Registered Nurse
  • Carrizo Springs, TX
National Provider Identifier
1285624676
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
DIMMIT REGIONAL HOSPITAL DISTRICT
Practice address
707 Hospital Drive
Carrizo Springs, TX 78834
Phone
(830) 876-2424
Fax
(830) 876-3099
NPI assigned
Oct 26, 2005
Reactivated
Feb 16, 2011
Organization subpart
Yes
Parent organization
DIMMIT REGIONAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Mr. Jose A Luna Sr., RN/BSN
Title
Administrator
Phone
(830) 876-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

707 Hospital Drive
Carrizo Springs, TX 78834

Mailing address

707 Hospital Drive
PO Box 1016
Carrizo Springs, TX 78834
Phone (830) 876-2424

Other identifiers 1

IdentifierTypeStateIssuer
023764601MedicaidTX

Other names 1

  • Dimmit County Memorial Hospital Home Health Care Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dimmit Regional Hospital District3 organizations share this tax ID, including this one
Part of
Dimmit Regional Hospital District

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1285624676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 HOSPITAL DRIVE",
            "address_2": "PO BOX 1016",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "78834",
            "telephone_number": "830-876-2424",
            "fax_number": "830-876-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 HOSPITAL DRIVE",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "78834",
            "telephone_number": "830-876-2424",
            "fax_number": "830-876-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMMIT REGIONAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIMMIT REGIONAL HOSPITAL DISTRICT",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-02-16",
        "deactivation_date": "2011-02-10",
        "reactivation_date": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-876-2424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RN/BSN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023764601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dimmit County Memorial Hospital Home Health Care Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrizo Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.