Organization Active NPI

Rural Rootz Health Clinic LLC

  • Rural Health Clinic/Center
  • Abernathy, TX
National Provider Identifier
1376350207
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
RURAL ROOTZ HEALTH CLINIC LLC
Practice address
207 Main St
Abernathy, TX 79311-3441
Phone
(806) 646-6074
Fax
(806) 642-5013
NPI assigned
Dec 13, 2024
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Dr. Jason Bradley Lentz, MDNPI 1467532416
Title
Ceo/Owner
Phone
(806) 790-4939

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
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

207 Main St
Abernathy, TX 79311-3441

Mailing address

207 Main St
Abernathy, TX 79311-3441
Phone (806) 646-6074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250505001389 TX Part A Provider - Rural Health Clinic 6608393582 Practice locations: Abernathy, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376350207. Details of each certification follow.

Rural health clinic certification: CCN 678947

Legal name
RURAL ROOTZ HEALTH CLINIC LLC
Doing business as
RURAL ROOTZ HEALTH CLINIC OF ABERNATHY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 10, 2025
Last certification
Sep 10, 2025
Ownership / control type
1C
Organization structure
LLCProprietary
Enrollment address
207 Main St
Abernathy, TX 79311-3441

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
45D2320926Rural Rootz Health Clinic LLC207 Main Street, Abernathy, TX 79311Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Locations

207 Main St
Abernathy, TX 79311
Phone (806) 298-5051

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Jason B Lentz Individual Contracted Managing EmployeeMD; Apr 21, 2025 50%
5% Or Greater Direct Ownership InterestChief Executive Officer Oct 17, 2024 50%
Rural Rootz Health Clinic LLC Organization, Lubbock, TX LLC 5% Or Greater Direct Ownership Interest Oct 17, 2024 100%
Jessie Ann Lentz Individual 5% Or Greater Direct Ownership InterestChief Financial Officer Oct 17, 2024 50%
Amy Montgomery Individual W-2 Managing EmployeeAd; Apr 21, 2025 50%

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 3

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": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1376350207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MAIN ST",
            "city": "ABERNATHY",
            "state": "TX",
            "postal_code": "793113441",
            "telephone_number": "806-646-6074",
            "fax_number": "806-642-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MAIN ST",
            "city": "ABERNATHY",
            "state": "TX",
            "postal_code": "793113441",
            "telephone_number": "806-646-6074",
            "fax_number": "806-642-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL ROOTZ HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "806-790-4939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abernathy, TX

Sources for this page

Verify at the official NPI Registry.