NPIMap

Organization Active NPI

Dimmit Regional Hospital

  • Critical Access Hospital
  • Carrizo Springs, TX
National Provider Identifier
1326134255
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
100175 Issued in TX
Legal business name
DIMMIT REGIONAL HOSPITAL
Practice address
704 Hospital Drive
Carrizo Springs, TX 78834
Phone
(830) 876-2424
Fax
(830) 876-5774
NPI assigned
Oct 5, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
DIMMIT REGIONAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Ernest Flores Jr.
Title
C.E.O
Phone
(830) 876-2424

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 741246263 TX
Critical Access Hospital 282NC0060X 100175 TX Primary
Emergency Medicine Physician 207P00000X 741246262 TX
General Practice Physician 208D00000X 741246263 TX

Addresses

Primary practice location

704 Hospital Drive
Carrizo Springs, TX 78834

Mailing address

704 Hospital Dr
PO Box 1016
Carrizo Springs, TX 78834-3836
Phone (830) 876-2424

Other identifiers 3

IdentifierTypeStateIssuer
112690603MedicaidTX
217884005MedicaidTX
HH0442OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20121129000364 TX Part B Supplier - Clinic/Group Practice 0446385496 Receives reassigned benefits from 64 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carrizo Springs, TX; Crystal City, TX
O20161103000627 TX Part A Provider - Critical Access Hospital 0446385496 Receives reassigned benefits from 55 practitioners
Practice locations: Carrizo Springs, TX
O20161107000645 TX Part A Provider - Critical Access Hospital 0446385496 Practice locations: Carrizo Springs, TX
O20171128002465 TX Part B Supplier - Hospital Department(S) 0446385496 Practice locations: Carrizo Springs, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1326134255. Details of each certification follow.

Hospital certification: CCN 451390

Legal name
DIMMIT REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 18, 2017
Last certification
Nov 21, 2024
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
Jun 10, 2008 in TX
Enrollment address
704 Hospital Dr
Carrizo Springs, TX 78834-3836
Other Hospital Practice Location

Hospital certification: CCN 45Z390

Legal name
DIMMIT REGIONAL HOSPITAL
Organization structure
OtherNon-profit
Incorporated
Jun 10, 2008 in TX
Enrollment address
704 Hospital Dr
Carrizo Springs, TX 78834-3836
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Dimmit Regional HospitalCCN 451390 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Dimmit Regional Hospital Organization, Carrizo Springs, TX Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2017 100%
Operational/Managerial Control Jan 1, 2017 100%
Operational/Managerial Control Jan 1, 2017
Alma E Melendez Individual Corporate DirectorCfo Jan 1, 2016
W-2 Managing EmployeeCfo Jan 1, 2016
Elia Ramirez Individual Corporate DirectorBoard Member Jan 1, 2022
Jean Ann Frasier Individual Corporate DirectorBoard Member Aug 7, 2018
Cleo Bustamante Individual Corporate DirectorBoard Member Jan 1, 2016
Juan Estrada Individual Corporate DirectorBoard Member Aug 7, 2018
Andres Duran Individual Corporate OfficerCeo Oct 1, 2023
Corporate DirectorCeo Oct 1, 2023
W-2 Managing EmployeeCeo Oct 1, 2023
Alfredo F Castaneda Individual Corporate DirectorVice Chairman Jan 1, 2016
Mary Alice Valdez Individual Corporate DirectorBoard Member Jan 1, 2016
Samuel E Allen Individual Corporate DirectorSecretary Jan 1, 2016
Miguel Uriegas Individual Corporate DirectorBoard Member Jan 1, 2016
August Linnartz Individual Corporate DirectorBoard Member Jan 1, 2016

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 60

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 60

Affiliated clinicians 42

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1326134255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 HOSPITAL DR",
            "address_2": "PO BOX 1016",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343836",
            "telephone_number": "830-876-2424",
            "fax_number": "830-876-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 HOSPITAL DRIVE",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "78834",
            "telephone_number": "830-876-2424",
            "fax_number": "830-876-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMMIT REGIONAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIMMIT REGIONAL HOSPITAL DISTRICT",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "830-876-2424",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "741246263",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "100175",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "741246262",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "741246263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112690603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217884005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH0442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrizo Springs, TX

Sources for this page

Verify at the official NPI Registry.