NPIMap

Organization Active NPI

Dimmit Regional Hospital

  • Rural Health Clinic/Center
  • Carrizo Springs, TX
National Provider Identifier
1568082477
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DIMMIT REGIONAL HOSPITAL
Practice address
504 Hospital Dr Ste B
Carrizo Springs, TX 78834-3847
Phone
(830) 876-9458
Fax
(830) 876-2411
NPI assigned
Apr 21, 2020
Last updated
Nov 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Alma Melendez
Title
Office Manager
Phone
(830) 876-2424

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

504 Hospital Dr Ste B
Carrizo Springs, TX 78834-3847

Mailing address

PO Box 1016
Carrizo Springs, TX 78834-7016
Phone (830) 876-9458

Other names 1

  • Luevano Health Care Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121129000364 TX Part B Supplier - Clinic/Group Practice 0446385496 Receives reassigned benefits from 64 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carrizo Springs, TX; Crystal City, TX
O20200508000985 TX Part A Provider - Rural Health Clinic 6608911383 Practice locations: Carrizo Springs, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568082477. Details of each certification follow.

Rural health clinic certification: CCN 678560

Legal name
DIMMIT REGIONAL HOSPITAL
Doing business as
DIMMIT REGIONAL HOSPITAL RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 17, 2021
Last certification
Jan 13, 2025
Ownership / control type
2B
Organization structure
GovernmentNon-profit
Incorporated
Jun 10, 2008 in TX
Enrollment address
504 Hospital Dr
Ste B
Carrizo Springs, TX 78834-3847
Related CCNs
451390

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 4

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
45D2196979Dimmit Regional Hospital Rural Health Clinic504 Hospital Drive, Suite B, Carrizo Springs, TX 78834Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dimmit Regional Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

302 S 5th St
Carrizo Springs, TX 78834
Phone (830) 876-2424

304 S 5th St
Carrizo Springs, TX 78834
Phone (830) 876-9421

1313 Veterans Ave
Ste A
Crystal City, TX 78839
Phone (830) 374-9823

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
Alma E Melendez Individual Corporate OfficerCfo Apr 1, 2020
Operational/Managerial ControlCfo Apr 1, 2020
Andres Duran Individual Corporate OfficerCeo Oct 1, 2023
Corporate DirectorCeo Oct 1, 2023
W-2 Managing EmployeeCeo Oct 1, 2023
Dimmit Regional Hospital Organization, Carrizo Springs, TX Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2020 100%
Operational/Managerial Control Apr 1, 2020 100%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Dimmit Regional Hospital Rural Health ClinicCrystal City, TX, CCN 678561 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2020

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 55

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 55

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1568082477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788347016",
            "telephone_number": "830-876-9458",
            "fax_number": "830-876-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 HOSPITAL DR STE B",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343847",
            "telephone_number": "830-876-9458",
            "fax_number": "830-876-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMMIT REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-876-2424"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luevano Health Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Luevano Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrizo Springs, TX

Sources for this page

Verify at the official NPI Registry.