NPIMap

Organization Active NPI

South Plains Rural Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Levelland, TX
National Provider Identifier
1295746402
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTH PLAINS RURAL HEALTH SERVICES, INC.
Doing business as
South Plains Rural Health Services, Inc.
Practice address
1000 FM 300
Levelland, TX 79336-6235
Phone
(806) 894-7842
Fax
(806) 894-3378
NPI assigned
Aug 11, 2006
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Dr. Judith Marie Madura, M.D.NPI 1821102195
Title
Chief Executive Officer
Phone
(806) 894-7842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1000 FM 300
Levelland, TX 79336-6235

Mailing address

1000 FM 300
Levelland, TX 79336-6235
Phone (806) 894-7842

Other names 1

  • South Plains Rural Health Services, Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tashmore@sprhs.org South Plains Rural Health Services, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030717000013 TX Part A Provider - Federally Qualified Health Center (FQHC) 4880505726 Practice locations: Levelland, TX
O20040610000024 TX Part B Supplier - Clinic/Group Practice 4880505726 Receives reassigned benefits from 20 practitioners
2 other NPIs on this enrollment
Practice locations: Big Spring, TX; Lamesa, TX; Levelland, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295746402. Details of each certification follow.

Federally qualified health center certification: CCN 451846

Legal name
SOUTH PLAINS RURAL HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jun 11, 1986 in TX
Enrollment address
1000 FM 300
Levelland, TX 79336-6235

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
45D0709462South Plains Rural Health Services Inc1000 FM 300, Levelland, TX 79336Provider-performed microscopyJun 29, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Janie Velez Individual Corporate DirectorBoard Member-Janie Velez May 18, 2009
Joann Staulcup Individual Corporate DirectorBoard Member-Joann Staulcup Jul 19, 2010
Juanita Rios Individual Corporate DirectorBoard Member-Janie Rios Apr 7, 2008
Maureen Reyes Individual Corporate DirectorBoard Member-Maureen Reyes Dec 16, 2006
Cynthia Camacho Individual W-2 Managing EmployeeCredentialing Clerk Jun 11, 2015
Tara Haskell Individual Corporate OfficerTara Haskell, Cfo Apr 29, 2014
W-2 Managing EmployeeCfo-Tara Haskell Jun 11, 2015
Janie Corrales Individual Corporate DirectorBoard Member-Janie Corrales Jan 5, 2015
Virginia Belew Individual Corporate DirectorBoard Member-Virgina Belew Jan 27, 2014
Judith Marie Madura Individual Corporate OfficerJudith Madura, Ceo Jul 12, 2006
W-2 Managing EmployeeCeo-Judith Madura Jun 11, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1295746402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FM 300",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366235",
            "telephone_number": "806-894-7842",
            "fax_number": "806-894-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FM 300",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366235",
            "telephone_number": "806-894-7842",
            "fax_number": "806-894-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PLAINS RURAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-12-29",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "MADURA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "806-894-7842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tashmore@sprhs.org",
            "affiliation": "Y",
            "affiliationName": "South Plains Rural Health Services, Inc.",
            "address_1": "1000 FM 300",
            "city": "Levelland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "793366235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "South Plains Rural Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levelland, TX

Sources for this page

Verify at the official NPI Registry.