NPIMap

Organization Active NPI

Reagan Hospital District

  • Nursing Facility/Intermediate Care Facility
  • Big Lake, TX
National Provider Identifier
1659336840
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
REAGAN HOSPITAL DISTRICT
Doing business as
REAGAN COUNTY CARE CENTER
Practice address
1300 N Main Ave
Big Lake, TX 76932
Phone
(325) 884-2561
Fax
(325) 884-2891
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Jonathon Voelkel
Title
Ceo
Phone
(325) 884-2561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

1300 N Main Ave
Big Lake, TX 76932

Mailing address

1300 N Main Ave
Big Lake, TX 76932-3202
Phone (325) 884-5610

Other identifiers 1

IdentifierTypeStateIssuer
005187MedicaidTX

Other names 1

  • REAGAN COUNTY CARE CENTER Doing business as

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
45D2009596Reagan County Care Center1300 N Main Avenue, Big Lake, TX 76932Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Reagan Memorial Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1659336840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN AVE",
            "city": "BIG LAKE",
            "state": "TX",
            "postal_code": "769323202",
            "telephone_number": "325-884-5610",
            "fax_number": "325-884-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MAIN AVE",
            "city": "BIG LAKE",
            "state": "TX",
            "postal_code": "76932",
            "telephone_number": "325-884-2561",
            "fax_number": "325-884-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAGAN HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "VOELKEL",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-884-2561"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005187",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REAGAN COUNTY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REAGAN COUNTY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Lake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.