NPIMap

Organization Active NPI

South Texas Rural Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Encinal, TX
National Provider Identifier
1477885481
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTH TEXAS RURAL HEALTH SERVICES INC
Practice address
100 S Main
Encinal, TX 78019-9800
Phone
(830) 879-3047
Fax
(830) 879-2940
NPI assigned
Feb 2, 2010
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Ms. Myrta Garcia
Title
Ceo
Phone
(830) 879-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

100 S Main
Encinal, TX 78019-9800

Mailing address

PO Box 599
Cotulla, TX 78014-0599
Phone (830) 879-3047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100712000075 TX Part A Provider - Federally Qualified Health Center (FQHC) 0446248231 1 other NPI on this enrollment
Practice locations: Encinal, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477885481. Details of each certification follow.

Federally qualified health center certification: CCN 671847

Legal name
SOUTH TEXAS RURAL HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 30, 2007
Last certification
Jan 30, 2007
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1975 in TX
Enrollment address
100S Main St
Encinal, TX 78019

Other NPIs with the same Medicare PAC ID 9

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.

National Provider Directory

National Provider Directory
Tax ID family
South TX Rural Health S14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Johnny Gloria Individual Corporate DirectorBoard Member Jun 21, 2010
Rodrigo Jaime Individual Corporate Director Sep 23, 2021
Carlos Ramos Individual Corporate DirectorBoard Member Jun 21, 2010
Vicki Nieto Individual Corporate Director Mar 25, 2021
Alma Salinas Individual Corporate DirectorBoard Member Jun 21, 2010
Jose Calderon Asuncion Individual Corporate Director Feb 27, 2020
Alvina Patterson Individual Corporate Director Aug 27, 2020
Analee Chapa Individual Corporate Director Apr 25, 2019
Myrta Garcia Individual Corporate Officer Apr 1, 2022
W-2 Managing Employee Apr 1, 2022
Velia H Dana Individual Corporate DirectorBoard Member Jun 21, 2010
Yolanda Trevino Individual Corporate DirectorBoard Member Jun 21, 2010
Sayna Ana Rodriguez Individual Corporate DirectorBoard Member Apr 30, 2015
Robin Jones Individual Corporate DirectorBoard Member Jun 21, 2010
Graciela Perez Individual Corporate DirectorBoard Member Jan 29, 2013
Pete Daniel Aguilar Individual Corporate DirectorBoard Member Jun 21, 2010
Juan Carmona Individual Corporate DirectorBoard Member May 26, 2011
Diana Rodriguez Individual Corporate DirectorBoard Member Jun 21, 2010
Maria Alma Galvan Individual Corporate DirectorBoard Member Mar 12, 2015

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1477885481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "city": "COTULLA",
            "state": "TX",
            "postal_code": "780140599",
            "telephone_number": "830-879-3047",
            "fax_number": "830-879-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN",
            "city": "ENCINAL",
            "state": "TX",
            "postal_code": "780199800",
            "telephone_number": "830-879-3047",
            "fax_number": "830-879-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS RURAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MYRTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-879-3047",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.