NPIMap

Organization Active NPI

Scott & White Memorial Hospital

  • General Acute Care Hospital
  • Temple, TX
National Provider Identifier
1477516466
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000537 Issued in TX
Legal business name
SCOTT & WHITE MEMORIAL HOSPITAL
Practice address
2401 S 31St St
Temple, TX 76508-0001
Phone
(254) 724-2111
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Christopher Olsen
Title
Cfo
Phone
(254) 724-4556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X 000537 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0001

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other identifiers 5

IdentifierTypeStateIssuer
175907300OtherTXW/C DEPT OF LABOR
HH0315OtherTXBLUE SHIELD
CF9664OtherTXRR/MEDICARE
1372492-07OtherTXCSHCN
1372492-08MedicaidTX

Other names 1

  • BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050803001027 TX Part A Provider - Hospital 8123076015 2 other NPIs on this enrollment

Hospital certification: CCN 450054

Legal name
SCOTT & WHITE MEMORIAL HOSPITAL
Doing business as
BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 28, 2024
Beds
653
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 23, 1949 in TX
Enrollment address
2401 S 31St St
Temple, TX 76508-0001
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Baylor Scott & White Medical Center - TempleCCN 450054
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Scott and White Hospital16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
William Rogers Individual Operational/Managerial ControlTrustee Jul 1, 2015
Justin Meier Individual Operational/Managerial ControlSVP Corporate Finance Feb 9, 2023
Mark L Montgomery Individual Operational/Managerial ControlTrustee Nov 1, 2015
Morris E Foster Individual Operational/Managerial ControlTrustee Jul 1, 2015
Mark W English Individual Operational/Managerial ControlTrustee Jul 1, 2022
Gregory Haralson Individual Corporate DirectorCeo Jan 16, 2024
W-2 Managing EmployeeCeo Jan 16, 2024
Operational/Managerial ControlCeo Jan 16, 2024
Tresa Muir McNeal Individual Operational/Managerial ControlTrustee Nov 30, 2017
Scott & White Healthcare Organization, Temple, TX Non-profit Operational/Managerial Control Feb 25, 2009
Christopher Olsen Individual Corporate DirectorCfo Apr 17, 2023
W-2 Managing EmployeeCfo Apr 17, 2023
Operational/Managerial ControlCfo Apr 17, 2023
Thomas Burdett Individual Operational/Managerial ControlTrustee Jul 1, 2015
Terry Maness Individual Operational/Managerial ControlTrustee Feb 23, 2019
Baylor Scott & White Health Organization, Temple, TX Non-profit Operational/Managerial Control Mar 1, 2014
Dominic Lucia Individual Operational/Managerial ControlTrustee Dec 4, 2020
William D Digaetano Individual Operational/Managerial ControlTrustee Jul 1, 2019
Muralidhar Jatla Individual Operational/Managerial ControlTrustee Jul 1, 2023
Jim Kruse Individual Operational/Managerial ControlTrustee Jul 1, 2015
Nelda Trevino Individual Operational/Managerial ControlTrustee Dec 4, 2020
Aval-NA'Ree S Green Individual Operational/Managerial ControlTrustee Jul 1, 2023
Angel Eduardo Caldera Individual Operational/Managerial ControlTrustee Nov 30, 2017
Arundhati Rao Individual Operational/Managerial ControlTrustee Dec 4, 2020
Kristen Leslie Manos Individual Corporate DirectorBoard Director Jul 1, 2025
Andra Liemandt Individual Operational/Managerial ControlTrustee Jul 1, 2023
Jarvis Parsons Individual Operational/Managerial ControlTrustee Jul 1, 2024
Megan Kiella Individual Corporate DirectorBoard Director Jul 1, 2025
Baylor Scott & White Holdings Organization, Dallas, TX Non-profit Other Mar 1, 2014

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Baylor Scott & White Medical Center HillcrestWaco, TX, CCN 45T101 Hospital Operational/Managerial Control Jan 1, 2025
Adventhealth Central TexasKilleen, TX, CCN 450152 Hospital 5% Or Greater Direct Ownership Interest (32%) Jul 1, 2008
Adventhealth Rollins BrookLampasas, TX, CCN 451323 Hospital 5% Or Greater Direct Ownership Interest (32%) Jul 1, 2008
Adventhealth Rollins Brook Swing Bed Skilled Nursing FacilityLampasas, TX, CCN 45Z323 Hospital 5% Or Greater Direct Ownership Interest (32%) Jul 1, 2008
Adventhealth Family Medicine Clinic Copperas CoveCopperas Cove, TX, CCN 673920 Rural health clinic 5% Or Greater Direct Ownership Interest (32%) Jul 1, 2008
Adventhealth Family Medicine Clinic LampasasLampasas, TX, CCN 458905 Rural health clinic 5% Or Greater Direct Ownership Interest (32%) Jul 1, 2008

Owned or controlled facilities with NPI records 7

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

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Practitioners 193

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 193

Affiliated clinicians 1,821

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,821

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1477516466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT & WHITE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "254-724-4556"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "W/C DEPT OF LABOR",
            "identifier": "175907300",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "HH0315",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MEDICARE",
            "identifier": "CF9664",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "1372492-07",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1372492-08",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.