NPIMap

Organization Active NPI

Val Verde Hospital Corporation

  • Certified Registered Nurse Anesthetist
  • Del Rio, TX
National Provider Identifier
1639239239
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
VAL VERDE HOSPITAL CORPORATION
Practice address
801 N Bedell Ave
Del Rio, TX 78840-4112
Phone
(830) 775-8566
Fax
(830) 775-6632
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Ron Walton
Title
Sr. Director Patient Financial Serv
Phone
(830) 775-8566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

801 N Bedell Ave
Del Rio, TX 78840-4112

Mailing address

801 N. Bedell Ave
Del Rio, TX 78840-4112
Phone (830) 775-8566

Other identifiers 4

IdentifierTypeStateIssuer
119877205MedicaidTX
178276100OtherUS DEPT OF LABOR
CK5555OtherTXRR MEDICARE
00C73LOtherTNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006001392 TX Part B Supplier - Clinic/Group Practice 0941112023 Receives reassigned benefits from 109 practitioners
2 other NPIs on this enrollment
Practice locations: Del Rio, TX

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.

National Provider Directory

National Provider Directory
Tax ID family
Val Verde Regional Med3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2400 Veterans Blvd
Del Rio, TX 78840

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Val Verde Regional Medical Center Rural Health ClinicDel Rio, TX, CCN 673431 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 6, 2014
Jun 1, 2014
Terry M. Lindsey Rural Health ClinicDel Rio, TX, CCN 678578 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2024

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 118

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1639239239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N. BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404112",
            "telephone_number": "830-775-8566",
            "fax_number": "830-775-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404112",
            "telephone_number": "830-775-8566",
            "fax_number": "830-775-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL VERDE HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "SR. DIRECTOR PATIENT FINANCIAL SERV",
        "authorized_official_telephone_number": "830-775-8566"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119877205",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "178276100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK5555",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00C73L",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.