NPIMap

Organization Active NPI

North Runnels County Hospital

Doing business as North Runnels Emergency Medical Services

  • Ambulance
  • Winters, TX
National Provider Identifier
1396746863
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
NORTH RUNNELS COUNTY HOSPITAL
Doing business as
North Runnels Emergency Medical Services
Practice address
7821 State Hwy 153
Winters, TX 79567-0185
Phone
(325) 754-4553
Fax
(325) 754-5079
NPI assigned
Aug 9, 2005
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Trace George
Title
Ceo
Phone
(325) 754-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 200001 TX
Ambulance 341600000X TX Primary

Addresses

Primary practice location

7821 State Hwy 153
Winters, TX 79567-0185

Mailing address

P.O. Box 185
Winters, TX 79567-0185
Phone (325) 754-4553

Other identifiers 2

IdentifierTypeStateIssuer
000437601MedicaidTX
200001OtherTXLICENSE NUMBER

Other names 1

  • North Runnels Emergency Medical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161215001813 TX Part B Supplier - Ambulance Service Supplier 6507757812 Practice locations: Winters, TX

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
North Runnels Hosp Dist H H4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
North Runnels HospitalWinters, TX, CCN 670784 Hospital Other (100%) Nov 1, 2000
North Runnels Home Health AgencyWinters, TX, CCN 458191 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 10, 1994
NRH ClinicWinters, TX, CCN 458865 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 2002
Jul 1, 2002

Owned or controlled facilities with NPI records 3

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

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1396746863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 185",
            "city": "WINTERS",
            "state": "TX",
            "postal_code": "795670185",
            "telephone_number": "325-754-4553",
            "fax_number": "325-754-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7821 STATE HWY 153",
            "city": "WINTERS",
            "state": "TX",
            "postal_code": "795670185",
            "telephone_number": "325-754-4553",
            "fax_number": "325-754-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RUNNELS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "TRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-754-1500"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "200001",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000437601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "200001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Runnels Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Runnels Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winters, TX

Sources for this page

Verify at the official NPI Registry.