Active NPI
Dimmit Regional Hospital
- Home Health Agency
- Carrizo Springs, TX
National Provider Identifier
1295054161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 015248
- Legal business name
- DIMMIT REGIONAL HOSPITAL
- Practice address
- 707 Hospital Dr
Carrizo Springs, TX 78834-3844 - Phone
- (830) 876-2424
- Fax
- (830) 876-3099
- NPI assigned
- May 18, 2010
- Reactivated
- Mar 9, 2011
- Organization subpart
- Yes
- Parent organization
- DIMMIT REGIONAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jose A Luna, RN
- Title
- Administrator
- Phone
- (830) 876-2424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 015248 | TX | Primary |
Addresses
Primary practice location
707 Hospital Dr
Carrizo Springs, TX 78834-3844
Mailing address
707 Hospital Dr
Carrizo Springs, TX 78834-3844
Phone (830) 876-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217884003 | Medicaid | TX |
Other names 1
- Dimmit Regional Hospital Home Health
National Provider Directory
National Provider Directory- Tax ID family
- Dimmit Regional Hospital District
- Part of
- Dimmit Regional Hospital
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Critical Access Hospital
- Carrizo Springs, TX
- NPI 1326134255
-
- Home Health Registered Nurse
- Carrizo Springs, TX
- NPI 1285624676
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
707 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368489600000",
"number": "1295054161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 HOSPITAL DR",
"city": "CARRIZO SPRINGS",
"state": "TX",
"postal_code": "788343844",
"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 DR",
"city": "CARRIZO SPRINGS",
"state": "TX",
"postal_code": "788343844",
"telephone_number": "830-876-2424",
"fax_number": "830-876-3099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIMMIT REGIONAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIMMIT REGIONAL HOSPITAL",
"enumeration_date": "2010-05-18",
"last_updated": "2013-05-14",
"deactivation_date": "2011-02-22",
"reactivation_date": "2011-03-09",
"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_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "015248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217884003",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dimmit Regional Hospital Home Health",
"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 May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.