NPIMap

Organization Active NPI

Tyler County Hospital District

Doing business as TCH Family Medical Clinic

  • General Practice Physician
  • Woodville, TX
National Provider Identifier
1285631945
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
000569 Issued in TX
Legal business name
TYLER COUNTY HOSPITAL DISTRICT
Doing business as
TCH Family Medical Clinic
Practice address
104 N Beech St
Woodville, TX 75979-4718
Phone
(409) 283-2822
Fax
(409) 283-7852
NPI assigned
Jul 7, 2005
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Sondra Dianne Williams
Title
Ceo
Phone
(409) 283-6401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 000569 TX Primary

Addresses

Primary practice location

104 N Beech St
Woodville, TX 75979-4718

Mailing address

104 N Beech St
Woodville, TX 75979-4718
Phone (409) 283-2822

Other identifiers 2

IdentifierTypeStateIssuer
0036MDOtherTXBCBS
162059301MedicaidTX

Other names 1

  • TCH Family Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030812000024 TX Part A Provider - Rural Health Clinic 1951212588 Practice locations: Woodville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285631945. Details of each certification follow.

Rural health clinic certification: CCN 458705

Legal name
TYLER COUNTY HOSPITAL DISTRICT
Doing business as
TCH FAMILY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 24, 1996
Last certification
Apr 11, 2018
Ownership / control type
Non-profit – church related
Most recent change of ownership
Feb 1, 1999 (1 total)
Organization structure
GovernmentNon-profit
Enrollment address
104 N Beech St
Woodville, TX 75979-4718
Related CCNs
450460

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

Other NPIs with the same Medicare PAC ID 8

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

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
45D1015161TCH Family Medical Clinic104 North Beech Street, Woodville, TX 75979ComplianceDec 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Tyler County Hosptial12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Interoperability endpoints

  • Direct secure messaging: allenwilliamson@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: allisonseale@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: amberdavis@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: charleswilson@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: floydpohle@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: kevinfarris@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: laurenconner@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: melissaabbott@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: nalinibaijnath@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: pauladenson@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: satyanarayanakante@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: savithabalakrishna@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: sebrinaalivernini@tchfamilym.allscriptsdirect.net
  • Direct secure messaging: shaliciariggins@tchfamilym.allscriptsdirect.net

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Betty Holton Individual W-2 Managing EmployeeCredentialing Oct 21, 2013
Michael Marshall Individual Corporate DirectorBoard Member Jan 31, 2019
Betty Whitworth Individual Corporate DirectorBoard Member Jan 1, 2022
Curtis Conner Individual Corporate DirectorBoard Member May 10, 2021
Sondra Williams Individual W-2 Managing EmployeeCeo/Cno Jan 1, 2019
Milton Powers Individual Corporate DirectorBoard Member Jan 1, 2023
Billie Read Individual Corporate DirectorBoard Member Oct 21, 2013
Elton McCluskey Individual W-2 Managing EmployeeCfo Dec 11, 2018
Walter McAlpin Individual Corporate DirectorBoard Member Dec 11, 2018
Ethel Rogers Individual Corporate DirectorBoard Member Jan 31, 2019

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Mill CreekSilsbee, TX, CCN 675338 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Woodville Health and Rehabilitation CenterWoodville, TX, CCN 675120 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Magnolia ManorGroves, TX, CCN 455538 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Oakwood Manor Nursing HomeVidor, TX, CCN 675394 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Bonne ViePort Arthur, TX, CCN 676444 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2020
The Bradford at BrooksideLivingston, TX, CCN 675539 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
LarkspurLufkin, TX, CCN 675519 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023

Owned or controlled facilities with NPI records 7

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

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1285631945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N BEECH ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794718",
            "telephone_number": "409-283-2822",
            "fax_number": "409-283-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N BEECH ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794718",
            "telephone_number": "409-283-2822",
            "fax_number": "409-283-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-283-6401"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "000569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0036MD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162059301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCH Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodville, TX

Sources for this page

Verify at the official NPI Registry.