NPIMap

Organization Active NPI

Starr County Hospital District

Doing business as Rural Health Clinic

  • Rural Health Clinic/Center
  • Rio Grande City, TX
National Provider Identifier
1366507477
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
STARR COUNTY HOSPITAL DISTRICT
Doing business as
Rural Health Clinic
Practice address
128 N FM 3167
Rio Grande City, TX 78582-6211
Phone
(956) 487-2892
Fax
(956) 487-6190
NPI assigned
Dec 27, 2006
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Mrs. Thalia H Munoz, RN, MS
Title
Administrator
Phone
(956) 487-5561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

128 N FM 3167
Rio Grande City, TX 78582-6211

Mailing address

PO Box 78
Rio Grande City, TX 78582-0078
Phone (956) 487-0453

Other identifiers 2

IdentifierTypeStateIssuer
136332709MedicaidTX
136332707MedicaidTX

Other names 1

  • Rural Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120301000242 TX Part A Provider - Rural Health Clinic 3971567512 Practice locations: Rio Grande City, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366507477. Details of each certification follow.

Rural health clinic certification: CCN 458713

Legal name
STARR COUNTY HOSPITAL DISTRICT
Doing business as
STARR COUNTY MEMORIAL HOSPITAL RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 24, 1996
Last certification
Jun 25, 2019
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Incorporated
Feb 15, 1975 in TX
Enrollment address
128 N FM 3167
Starr County Memorial Hospital Rural Health Clinic
Rio Grande City, TX 78582-6211
Related CCNs
450654

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

Other NPIs with the same Medicare PAC ID 10

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

National Provider Directory

National Provider Directory
Tax ID family
Starr County Memorial H8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

128 N FM 3167
Rio Grande Cy, TX 78582
Phone (956) 487-0453

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Thalia H Munoz Individual W-2 Managing EmployeeHospital Administrator/Ceo Feb 1, 2012 95%
Operational/Managerial ControlAdministrator Nov 1, 1982 95%
Rafael Olivares Individual Contracted Managing EmployeeController Aug 1, 2001 5%
W-2 Managing EmployeeController/Assistant Hospital Ad Feb 1, 2012 5%
Starr County Hospital District Organization, Rio Grande City, TX 5% Or Greater Direct Ownership Interest Feb 1, 2012 100%

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Starr County Memorial HospitalRio Grande City, TX, CCN 450654 Hospital 5% Or Greater Direct Ownership Interest (80%) Feb 15, 1978
Rio Grande City Nursing and Rehabilitation CenterRio Grande City, TX, CCN 676119 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Feb 28, 2015
Feb 28, 2015
Apr 14, 2025
Windsor AtriumHarlingen, TX, CCN 676125 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Apr 1, 2017
Apr 1, 2017
Apr 14, 2025
Windsor Arbor ViewEdinburg, TX, CCN 676206 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Apr 1, 2017
Apr 1, 2017
Apr 14, 2025
Weslaco Nursing and Rehabilitation CenterWeslaco, TX, CCN 676037 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Apr 1, 2017
Apr 1, 2017
Apr 15, 2025
Windsor Nursing and Rehabilitation Center of RaymondvilleRaymondville, TX, CCN 675475 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 1, 2018
Apr 1, 2018
Apr 15, 2025
Windsor Nursing and Rehabilitation Center of HarlingenHarlingen, TX, CCN 455822 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 1, 2018
Apr 1, 2018
Apr 15, 2025
Windsor Nursing and Rehabilitation Center of McAllenMcAllen, TX, CCN 455662 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 1, 2018
Oct 1, 2022
Apr 15, 2025

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1366507477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785820078",
            "telephone_number": "956-487-0453",
            "fax_number": "956-487-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N FM 3167",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826211",
            "telephone_number": "956-487-2892",
            "fax_number": "956-487-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARR COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "THALIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-487-5561",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MS"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136332709",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136332707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.