Mission Hospital, Inc
Organization Active NPI Rehabilitation Hospital · Mission, TX
NPI 1508895079 · NPPES record last updated May 5, 2020
Key facts
- NPI
- 1508895079
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- License
- 000370 (TX)
- Legal business name
- MISSION HOSPITAL, INC
- Practice address
- 900 S Bryan Rd
Mission, TX 78572-6613 - Phone
- (956) 323-9000
- NPI assigned
- Jun 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Lester Edward Surrock
- Title
- Cfo
- Phone
- (956) 323-9106
Owners & managing parties with NPI records 2
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 29
Affiliated clinicians 145
-
Desmond Yengeh Adamu, M.D.
-
Maria L Aguinaga, MD
-
Liza Aguirre, CRNA
-
Khizar Ahsan, M.D.
-
Khursheed Alam, M.D.
-
Ralph Alhalel, M.D.
-
Hilary F Almeida, M.D.
-
Mario Rudy Anzaldua, M.D.
-
Numan A Arafat, MD
-
Rafael A Avila, M.D.
-
Valeska Balderas, MD
-
Juan P Calero, MD
-
Oscar Cano, MD
-
Librado Omar Cavazos, FNP-BC
-
Kuang-Wei Eric Chang, M.D.
Medicare Care Compare: Hospital
- Listed as
- Mission Regional Medical Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Mission Regional Medical Center
- Ownership
- Non-profit
- Certified
- Oct 1, 1998
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Hospital certification: CCN 450176
- Legal name
- MISSION HOSPITAL INC
- Doing business as
- MISSION REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Apr 20, 2024
- Beds
- 297
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 28, 1981 in TX
- Enrollment address
- 900 S Bryan Rd
Mission, TX 78572-6613 - Hospital subgroups
- General, Acute care
Hospital certification: CCN 45T176
- Legal name
- MISSION HOSPITAL INC
- Doing business as
- MISSION REGIONAL MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 28, 1981 in TX
- Enrollment address
- 900 S Bryan Rd
Mission, TX 78572-6613 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Prime Healthcare Services, Inc |
Other | Jul 1, 2017 | |
| Alicia Requenez |
Corporate Director | Jul 1, 2017 | |
| Corporate Director | Feb 24, 2009 | ||
| Prime Healthcare Foundation - Mission LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2017 | 100% |
| Kane Dawson |
Corporate Director |
Jul 1, 2017 | |
| Corporate Officer |
Jul 1, 2017 | ||
| Corporate Director |
Jul 1, 2017 | ||
| W-2 Managing Employee |
Jul 1, 2017 | ||
| Estella Saenz |
Corporate Director | Jul 1, 2017 | |
| Lester E Surrock |
Corporate Officer |
Jan 4, 2018 | |
| W-2 Managing Employee |
Jan 4, 2018 | ||
| Cesar Guerra |
Corporate Officer |
Jul 5, 2021 | |
| W-2 Managing Employee |
Jul 5, 2021 | ||
| W-2 Managing Employee |
Jan 1, 2021 | ||
| Christopher Doan |
Corporate Officer |
Jul 1, 2017 | |
| W-2 Managing Employee |
Jul 1, 2017 | ||
| Corporate Officer |
Jul 1, 2017 | ||
| Padmini Bhadriraju |
Corporate Officer |
Dec 1, 2020 | |
| Corporate Director |
Dec 1, 2020 | ||
| Elizabeth Garza |
Corporate Director | Feb 24, 2009 | |
| Prime Healthcare Foundation Inc |
5% Or Greater Indirect Ownership Interest | Jul 1, 2017 | |
| Deborah Cordova |
Corporate Director |
Jul 1, 2017 | |
| Corporate Director | Jul 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050509000397 | TX | Part a Provider - Hospital | 0042270563 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mission, TX |
| O20090217000055 | TX | Part a Provider - Hospital | 0042270563 | Practice locations: Mission, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 000370 | TX | Yes |
Addresses
Primary practice location
900 S Bryan Rd
Mission, TX 78572-6613
Mailing address
900 S Bryan Rd
Mission, TX 78572-6613
Phone (956) 323-9000
Other names
- Mission Regional Medical Center
Other providers in Mission, TX
- Mission Dialysis Access Center, PA
- Mission Doctors Group
- Mission Family Clinic PLLC
- Mission Hospital Inc
- Mission Hospital Inc
- Mission Hospital, Inc.
- Mission Injury and Orthopedics Clinic LLC
- Mission Medical Equipment & Diabetic Supplies
- Mission Open MRI & Diagnostic Center LLC
- Mission Orthopaedics PA
All providers in Mission, TX · Rehabilitation Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.