South Limestone Hospital District
Organization Active NPI Rural Health Clinic/Center · Groesbeck, TX
NPI 1669468617 · NPPES record last updated Mar 14, 2013
Key facts
- NPI
- 1669468617
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 000052 (TX)
- Legal business name
- SOUTH LIMESTONE HOSPITAL DISTRICT
- Practice address
- 701 McClintic Dr
Groesbeck, TX 76642-2128 - Phone
- (254) 729-3411
- Fax
- (254) 729-3258
- NPI assigned
- Sep 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Larry Price
- Title
- Administrator
- Phone
- (254) 729-3411
Related certifications (CCN) 1
Facilities with the same owner 29
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Rural health clinic certification: CCN 453984
- Legal name
- SOUTH LIMESTONE HOSPITAL DISTRICT
- Doing business as
- FAMILY MEDICINE CENTER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Apr 3, 1991
- Last certification
- May 2, 2018
- Ownership / control type
- Non-profit – church related
- Most recent change of ownership
- Jan 1, 1999 (1 total)
- Organization structure
- Other · Non-profit
- Enrollment address
- 701 McClintic Dr
Groesbeck, TX 76642-2128 - Related CCNs
- 451303
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Larry N Price |
W-2 Managing Employee |
Mar 28, 2022 | |
| Arnold Gray |
Corporate Director |
Mar 28, 2022 | |
| Herbert D Hewitt |
Corporate Director |
Mar 28, 2022 | |
| Jack Milstead |
Corporate Director |
Mar 28, 2022 | |
| Kent Wilson |
Corporate Director | Mar 28, 2022 | |
| Jennifer E. Mackey |
Corporate Director |
Mar 28, 2022 | |
| Debbie Brewer |
W-2 Managing Employee |
Apr 8, 2010 | |
| Cheryl Hardin |
W-2 Managing Employee |
Apr 8, 2010 | |
| Cathy Knouse |
W-2 Managing Employee |
Jun 12, 2013 | |
| South Limestone Hospital District |
Operational/Managerial Control | Mar 28, 2022 | |
| Martha L Stanton |
Corporate Director |
Mar 28, 2022 | |
| Glenda R O'Neal |
Corporate Director |
Mar 28, 2022 |
All facility ownership & control disclosures 30
| Facility | Type | Role | Since |
|---|---|---|---|
| Limestone Medical Center |
Hospital | Operational/Managerial Control (14%) | Aug 5, 1996 |
| Limestone Medical Center |
Hospital | Operational/Managerial Control | Aug 5, 1996 |
| Accel at Willow Bend |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| Garnet Hill Rehabilitation and Skilled Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| Settlers Ridge Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| The Villages on Macarthur |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| Baybrooke Village Care and Rehab Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| Woodland Springs Nursing Center |
Skilled nursing facility | Operational/Managerial Control (50%) | Jan 23, 2015 |
| Georgetown Nursing and Transitional Care |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 1, 2017 Sep 30, 2025 |
| Creekside Terrace Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| San Gabriel Rehabilitation and Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Groesbeck LTC Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Teague Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Mexia LTC Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Apr 1, 2018 Apr 23, 2025 |
| Falcon Ridge Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2019 |
| Briarcliff Health Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2019 |
| Chandler Health Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2019 |
| Providence Park Rehabilitation and Skilled Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2020 |
| Avir at Belton |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2021 |
| Van Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Panola County Nursing & Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 15, 2024 |
| Crimson Heights Health & Wellness |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Terra Bella Health and Wellness Suites |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| St. Joseph'S Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2024 |
| The Chateau Waco |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2025 |
| Avir at Corsicana |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2025 |
| St. Anthony'S Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2025 |
| West Rest Haven |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2025 |
| Rettig Family Health Care a Limestone Medical Center Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2015 |
| Kosse Community Health Clinic a Limestone Medical Center Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210526002507 | TX | Part a Provider - Rural Health Clinic | 9032103700 | Practice locations: Groesbeck, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 000052 | TX | Yes |
Addresses
Primary practice location
701 McClintic Dr
Groesbeck, TX 76642-2128
Mailing address
701 McClintic Dr
Groesbeck, TX 76642-2128
Phone (254) 729-3411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121728302 | Medicaid | TX | |
| 0030MQ | Other | TX | BLUE CROSS FMC |
Other names
- Family Medicine Center
Other providers in Groesbeck, TX
- Wanda Kay Roark
- Woody Greer Shultz
- Amy Oakes Silar
- Dori Kay Sims
- South Limestone Hospital District
- South Limestone Hospital District
- South Limestone Hospital District
- South Limestone Hospital District Dba Limestone Medical Center/Family
- Kimberly Stevens
- Jason Wayne Trojacek
All providers in Groesbeck, TX · Rural Health Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2013. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.