Organization Active NPI

General Hospital

Doing business as Iraan General Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Iraan, TX
National Provider Identifier
1508822552
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
000258 Issued in TX
Legal business name
GENERAL HOSPITAL
Doing business as
Iraan General Hospital District
Practice address
600 Hwy 349 North
Iraan, TX 79744-0665
Phone
(432) 639-2575
Fax
(432) 639-6292
NPI assigned
Apr 26, 2006
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mr. William Nall
Title
Acting Ceo
Phone
(432) 639-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000258 TX Primary

Addresses

Primary practice location

600 Hwy 349 North
Iraan, TX 79744-0665

Mailing address

PO Box 665
Iraan, TX 79744-0665
Phone (432) 639-2575

Other identifiers 1

IdentifierTypeStateIssuer
1508822552OtherMEDICARE DEFINED SWINGBED UNIT

Other names 1

  • IRAAN GENERAL HOSPITAL DISTRICT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070915000238 TX Part A Provider - Critical Access Hospital 9032023841 Practice locations: Iraan, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508822552. Details of each certification follow.

Hospital certification: CCN 45Z307

Legal name
GENERAL HOSPITAL
Doing business as
IRAAN GENERAL HOSPITAL DISTRICT
Organization structure
GovernmentNon-profit
Enrollment address
600 Hwy 349 North
Iraan, TX 79744
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Pecos County General3 organizations share this tax ID, including this one
Part of
Pecos County General

Other organizations with this tax ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
William Nall Individual W-2 Managing EmployeeChief Executive Officer Jul 1, 2024 100%
Nelia Hernandez Individual Corporate OfficerChief Financial Officer May 1, 2018 100%
W-2 Managing EmployeeChief Financial Officer May 1, 2018 50%

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1508822552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "IRAAN",
            "state": "TX",
            "postal_code": "797440665",
            "telephone_number": "432-639-2575",
            "fax_number": "432-639-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HWY 349 NORTH",
            "city": "IRAAN",
            "state": "TX",
            "postal_code": "797440665",
            "telephone_number": "432-639-2575",
            "fax_number": "432-639-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERAL HOSPITAL",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "NALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "432-639-2575",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "000258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DEFINED SWINGBED UNIT",
            "identifier": "1508822552",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRAAN GENERAL HOSPITAL DISTRICT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IRAAN GENERAL HOSPITAL DISTRICT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iraan, TX

Sources for this page

Verify at the official NPI Registry.