NPIMap

Organization Active NPI

Baylor County Hospital District

Doing business as Seymour Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Seymour, TX
National Provider Identifier
1619045119
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
000549 Issued in TX
Legal business name
BAYLOR COUNTY HOSPITAL DISTRICT
Doing business as
Seymour Hospital
Practice address
200 Stadium Dr
Seymour, TX 76380-2344
Phone
(940) 889-5572
Fax
(940) 889-3337
NPI assigned
Dec 1, 2006
Last updated
Apr 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Mrs. Leslie Hardin
Title
Ceo
Phone
(940) 889-5572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000549 TX Primary

Addresses

Primary practice location

200 Stadium Dr
Seymour, TX 76380-2344

Mailing address

200 Stadium Dr
Seymour, TX 76380-2344
Phone (940) 889-5572

Other names 1

  • Seymour Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211130002206 TX Part A Provider - Critical Access Hospital 6103739222 Practice locations: Seymour, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619045119. Details of each certification follow.

Hospital certification: CCN 45Z399

Legal name
BAYLOR COUNTY HOSPITAL DISTRICT
Doing business as
SEYMOUR HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
200 Stadium Dr
Seymour, TX 76380-2344
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory

Member organizations 1

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

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
Leslie Hardin Individual Corporate DirectorChief Executive Officer Nov 16, 2021
W-2 Managing EmployeeChief Executive Officer Nov 16, 2021
Baylor County Hospital District Organization, Seymour, TX Operational/Managerial Control Nov 16, 2021
Amanda K Futch Individual Corporate DirectorBusiness Office Manager Nov 16, 2021
W-2 Managing EmployeeBusiness Office Manager Nov 16, 2021

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Seymour HospitalSeymour, TX, CCN 451399 Hospital Operational/Managerial Control Nov 16, 2021
Advanced Rehabilitation and Healthcare of VernonVernon, TX, CCN 455931 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Seymour Rehabilitation and HealthcareSeymour, TX, CCN 675042 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Cherokee Trails Nursing HomeRusk, TX, CCN 675835 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Tomball Rehab & NursingTomball, TX, CCN 675714 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Seymour Hospital Home HealthSeymour, TX, CCN 458006 Home health agency Operational/Managerial Control Jan 26, 2006
Seymour Hospital Rural Health ClinicSeymour, TX, CCN 458573 Rural health clinic Operational/Managerial Control Aug 14, 2003

Owned or controlled facilities with NPI records 7

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

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1619045119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STADIUM DR",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763802344",
            "telephone_number": "940-889-5572",
            "fax_number": "940-889-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STADIUM DR",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763802344",
            "telephone_number": "940-889-5572",
            "fax_number": "940-889-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-889-5572",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "000549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seymour Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seymour Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, TX

Sources for this page

Verify at the official NPI Registry.