Electra Hospital District
Organization Active NPI Rural Health Clinic/Center · Iowa Park, TX
NPI 1346805348 · NPPES record last updated Mar 17, 2026
Key facts
- NPI
- 1346805348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ELECTRA HOSPITAL DISTRICT
- Practice address
- 310 W Alameda St
Iowa Park, TX 76367-1600 - Phone
- (940) 592-4141
- NPI assigned
- May 6, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- ELECTRA HOSPITAL DISTRICT
Authorized official
- Name
- Rebecca McCain
- Title
- Ceo
- Phone
- (940) 495-3981
Owners & managing parties with NPI records 10
Owned or controlled facilities with NPI records 7
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 11
Related certifications (CCN) 2
Facilities with the same owner 6
Practitioners 11
-
Kimberly Babb, FNP
-
Thomas S Delizio, MD
-
Erica Myers, FNP
-
Ben Segler, FNP-C
-
Elijah Clifton Shaw, FNP-C
-
Pablo C Teveni, M.D
-
Justin David Gellner, FNP-C
-
Raven K Henry, FNP-C
-
Karen J. Moriarty, DNP, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Rural health clinic certification: CCN 673477
- Legal name
- ELECTRA HOSPITAL DISTRICT
- Doing business as
- PARK CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Sep 26, 2019
- Last certification
- Aug 9, 2022
- Ownership / control type
- Non-profit – church related
- Organization structure
- Other · Non-profit
- Enrollment address
- 310 W Alameda St
Iowa Park, TX 76367-1600 - Related CCNs
- 451343
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Kelli Swenson |
Corporate Director |
Apr 1, 2024 | |
| W-2 Managing Employee |
Apr 1, 2024 | ||
| Electra Hospital District |
5% Or Greater Direct Ownership Interest | Aug 1, 2019 | 100% |
| Operational/Managerial Control | Aug 1, 2019 | 100% | |
| John Miller |
Corporate Director |
Aug 1, 2019 | 100% |
| Rebecca McCain |
Corporate Officer |
Aug 1, 2019 | 100% |
| W-2 Managing Employee |
Aug 1, 2019 | 100% |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Electra Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1976 |
| Electra Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1976 |
| Electra Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF Direct Ownership Interest (100%) |
Jun 1, 2024 Dec 30, 2024 Jan 1, 2025 Jun 1, 2024 |
| Electra Memorial Hospital Home Health Services |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 21, 1988 Mar 21, 1988 |
| Iowa Park Clinic |
Rural health clinic | Operational/Managerial Control | Aug 1, 2014 |
| Electra Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1990 Jan 1, 1990 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190620000156 | TX | Part a Provider - Rural Health Clinic | 6507769494 | Practice locations: Iowa Park, TX |
National Provider Directory
- Tax ID family
- Electra Memorial Hospit
- Part of
- Electra Memorial Hospit
Locations
310 W Alameda St
Iowa Park, TX 76367
Phone (940) 592-4141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
310 W Alameda St
Iowa Park, TX 76367-1600
Mailing address
PO Box 1112
Electra, TX 76360-1112
Phone (940) 495-3981
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135034 | Medicaid | TX |
Other names
- Park Clinic
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brandon.huffstutler@electrahospital.com |
Other providers in Iowa Park, TX
- Alishia Early
- Joseph Michael Eastridge
- Educare Community Living Limited Partnership
- Albert Ehrhardt
- Electra Hospital District
- Electra Hospital District
- Laura Christine Faiai
- Sarah Fulfer
- Justin David Gellner
- Staci Nicole Gonzales
All providers in Iowa Park, TX · Rural Health Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.