NPIMap

Organization Active NPI

Stonewall Memorial Hospital

Doing business as Stonewall Memorial Hospital EMS

  • Land Ambulance
  • Aspermont, TX
National Provider Identifier
1407624323
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
STONEWALL MEMORIAL HOSPITAL
Doing business as
Stonewall Memorial Hospital EMS
Practice address
821 N Broadway St
Aspermont, TX 79502-2029
Phone
(940) 989-3551
Fax
(940) 989-3662
NPI assigned
Dec 20, 2023
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
STONEWALL MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Michael Moorhead
Title
Ceo
Phone
(940) 989-3551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

821 N Broadway St
Aspermont, TX 79502-2029

Mailing address

821 N Broadway St
Aspermont, TX 79502-2029
Phone (940) 989-3551

Other names 1

  • Stonewall Memorial Hospital EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240219001454 TX Part B Supplier - Ambulance Service Supplier 1254228919 Practice locations: Aspermont, TX

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Stonewall County Ambulance7 organizations share this tax ID, including this one
Part of
Stonewall County Ambulance

Other organizations with this tax ID 6

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

Ownership & related parties

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Stonewall Memorial Hospital DistrictAspermont, TX, CCN 451318 Hospital Operational/Managerial Control Nov 6, 2007
Stonewall Memorial Hospital DistrictAspermont, TX, CCN 45Z318 Hospital Operational/Managerial Control Nov 6, 2007
Stonewall Rural Health ClinicAspermont, TX, CCN 453986 Rural health clinic Operational/Managerial Control Aug 18, 2009
Kent County Rural Health ClinicJayton, TX, CCN 458789 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Spur Rural Health ClinicSpur, TX, CCN 673426 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1407624323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N BROADWAY ST",
            "city": "ASPERMONT",
            "state": "TX",
            "postal_code": "795022029",
            "telephone_number": "940-989-3551",
            "fax_number": "940-989-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N BROADWAY ST",
            "city": "ASPERMONT",
            "state": "TX",
            "postal_code": "795022029",
            "telephone_number": "940-989-3551",
            "fax_number": "940-989-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEWALL MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STONEWALL MEMORIAL HOSPITAL",
        "enumeration_date": "2023-12-20",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "MOORHEAD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-989-3551"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonewall Memorial Hospital EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aspermont, TX

Sources for this page

Verify at the official NPI Registry.