NPIMap

Organization Active NPI

McCulloch County Hospital District

Doing business as Heart of Texas Memorial Hospital Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Brady, TX
National Provider Identifier
1316923667
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0034628 Issued in TX
Legal business name
MCCULLOCH COUNTY HOSPITAL DISTRICT
Doing business as
Heart of Texas Memorial Hospital Home Medical Equipment
Practice address
1004 Southgate Dr
Brady, TX 76825-7218
Phone
(325) 792-0006
Fax
(325) 792-8004
NPI assigned
Dec 19, 2005
Last updated
Apr 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Mr. Tim Jones
Title
Ceo
Phone
(325) 792-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0034628 TX Primary

Addresses

Primary practice location

1004 Southgate Dr
Brady, TX 76825-7218

Mailing address

PO Box 1150
Brady, TX 76825-1150
Phone (325) 792-0006

Other identifiers 2

IdentifierTypeStateIssuer
010544701MedicaidTX
012228501MedicaidTX

Other names 1

  • Heart of Texas Memorial Hospital Home Medical Equipment Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001687 TX Part B Supplier - Clinic/Group Practice 6305755901 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brady, TX

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1316923667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768251150",
            "telephone_number": "325-792-0006",
            "fax_number": "325-797-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SOUTHGATE DR",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768257218",
            "telephone_number": "325-792-0006",
            "fax_number": "325-792-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOCH COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-792-0006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0034628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010544701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012228501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Texas Memorial Hospital Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brady, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.