NPIMap

Organization Active NPI

Muenster Hospital District

Doing business as MMH Family Health Clinic

  • Rural Health Clinic/Center
  • Muenster, TX
National Provider Identifier
1497750962
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
45D0938017 Issued in TX
Legal business name
MUENSTER HOSPITAL DISTRICT
Doing business as
MMH Family Health Clinic
Practice address
509 N Maple St
Muenster, TX 76252-2425
Phone
(940) 759-2226
Fax
(940) 759-2385
NPI assigned
Jun 20, 2005
Last updated
Apr 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Marion Wilimon
Title
Ceo
Phone
(940) 759-6181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X 45D0938017 TX Primary

Addresses

Primary practice location

509 N Maple St
Muenster, TX 76252-2425

Mailing address

PO Box 370
Muenster, TX 76252-0370
Phone (940) 759-2226

Other names 1

  • MMH FAMILY HEALTH CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031106000571 TX Part B Supplier - Clinic/Group Practice 6608785993 Receives reassigned benefits from 22 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Muenster, TX
O20060215000736 TX Part A Provider - Rural Health Clinic 6608785993 1 other NPI on this enrollment
Practice locations: Muenster, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497750962. Details of each certification follow.

Rural health clinic certification: CCN 458784

Legal name
MUENSTER HOSPITAL DISTRICT
Doing business as
MMH FAMILY HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 18, 1997
Last certification
Nov 28, 2017
Ownership / control type
For profit – corporation
Organization structure
OtherProprietary
Enrollment address
509 N Maple St
Muenster, TX 76252-2425
Related CCNs
451335

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

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

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
45D0938017MMH Family Health Clinic509 N Maple St, Muenster, TX 76252Certificate of waiverDec 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Muenster Pharmacy4 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.

Locations

202 E Division St
Muenster, TX 76252
Phone (817) 792-3101

602 N Maple St
Muenster, TX 76252
Phone (940) 759-2262

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Debbie Neu Individual Corporate OfficerCfo Feb 1, 2021 100%
W-2 Managing EmployeeCfo Feb 1, 2021 100%
Marion Bruce Individual Corporate OfficerCeo Feb 1, 2021 100%
W-2 Managing EmployeeCeo Feb 1, 2021 100%
Muenster Hospital District Organization, Muenster, TX Non-profit Operational/Managerial Control Jan 1, 2011

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Muenster Memorial HospitalMuenster, TX, CCN 451335 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2002
Muenster Memorial HospitalMuenster, TX, CCN 45Z335 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2002

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1497750962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "MUENSTER",
            "state": "TX",
            "postal_code": "762520370",
            "telephone_number": "940-759-2226",
            "fax_number": "940-759-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N MAPLE ST",
            "city": "MUENSTER",
            "state": "TX",
            "postal_code": "762522425",
            "telephone_number": "940-759-2226",
            "fax_number": "940-759-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUENSTER HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "WILIMON",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-759-6181"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "45D0938017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMH FAMILY HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MMH FAMILY HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muenster, TX

Sources for this page

Verify at the official NPI Registry.