NPIMap

Organization Active NPI

South Limestone Hospital District

Doing business as Family Medicine Center

  • Rural Health Clinic/Center
  • Groesbeck, TX
National Provider Identifier
1669468617
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
000052 Issued in TX
Legal business name
SOUTH LIMESTONE HOSPITAL DISTRICT
Doing business as
Family Medicine Center
Practice address
701 McClintic Dr
Groesbeck, TX 76642-2128
Phone
(254) 729-3411
Fax
(254) 729-3258
NPI assigned
Sep 26, 2005
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Mr. Larry Price
Title
Administrator
Phone
(254) 729-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 000052 TX Primary

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 names 1

  • Family Medicine Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526002507 TX Part A Provider - Rural Health Clinic 9032103700 Practice locations: Groesbeck, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669468617. Details of each certification follow.

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
OtherNon-profit
Enrollment address
701 McClintic Dr
Groesbeck, TX 76642-2128
Related CCNs
451303

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Larry N Price Individual W-2 Managing EmployeeCheif Executive Officer Mar 28, 2022
Arnold Gray Individual Corporate DirectorBoard Member Mar 28, 2022
Herbert D Hewitt Individual Corporate DirectorPresident of the Board of Direct Mar 28, 2022
Jack Milstead Individual Corporate DirectorDirector Mar 28, 2022
Kent Wilson Individual Corporate Director Mar 28, 2022
Jennifer E. Mackey Individual Corporate DirectorBoard Member Mar 28, 2022
Debbie Brewer Individual W-2 Managing EmployeeBusiness Office Manager Apr 8, 2010
Cheryl Hardin Individual W-2 Managing EmployeeMedical Records Director Apr 8, 2010
Cathy Knouse Individual W-2 Managing EmployeeAdministrative Assistant Jun 12, 2013
South Limestone Hospital District Organization, Groesbeck, TX Operational/Managerial Control Mar 28, 2022
Martha L Stanton Individual Corporate DirectorBoard Member Mar 28, 2022
Glenda R O'Neal Individual Corporate DirectorBoard Member Mar 28, 2022

All facility ownership & control disclosures 30

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

FacilityTypeRoleSince
Limestone Medical CenterGroesbeck, TX, CCN 451303 Hospital Operational/Managerial Control (14%) Aug 5, 1996
Limestone Medical CenterGroesbeck, TX, CCN 45Z303 Hospital Operational/Managerial Control Aug 5, 1996
Accel at Willow BendPlano, TX, CCN 676349 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Garnet Hill Rehabilitation and Skilled CareWylie, TX, CCN 676192 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Settlers Ridge Care CenterCelina, TX, CCN 675969 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
The Villages on MacarthurIrving, TX, CCN 676358 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Baybrooke Village Care and Rehab CenterMcKinney, TX, CCN 676096 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Woodland Springs Nursing CenterWaco, TX, CCN 675360 Skilled nursing facility Operational/Managerial Control (50%) Jan 23, 2015
Georgetown Nursing and Transitional CareGeorgetown, TX, CCN 676280 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2017
Sep 30, 2025
Creekside Terrace RehabilitationBelton, TX, CCN 455497 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
San Gabriel Rehabilitation and Care CenterRound Rock, TX, CCN 676308 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Groesbeck LTC Nursing and RehabilitationGroesbeck, TX, CCN 676071 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Teague Nursing and RehabilitationTeague, TX, CCN 675884 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Mexia LTC Nursing and RehabilitationMexia, TX, CCN 675903 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2018
Apr 23, 2025
Falcon Ridge RehabilitationHutto, TX, CCN 676382 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2019
Briarcliff Health CenterTyler, TX, CCN 675142 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2019
Chandler Health CareChandler, TX, CCN 455910 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2019
Providence Park Rehabilitation and Skilled NursingTyler, TX, CCN 676184 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2020
Avir at BeltonBelton, TX, CCN 675948 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2021
Van HealthcareVan, TX, CCN 455856 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Panola County Nursing & RehabilitationCarthage, TX, CCN 675387 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 15, 2024
Crimson Heights Health & WellnessHumble, TX, CCN 676463 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Terra Bella Health and Wellness SuitesHouston, TX, CCN 676450 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
St. Joseph's Care CenterMcGregor, TX, CCN 745059 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024
The Chateau WacoWaco, TX, CCN 676409 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025
Avir at CorsicanaCorsicana, TX, CCN 676295 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025
St. Anthony's Care CenterWaco, TX, CCN 676462 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
West Rest HavenWest, TX, CCN 676386 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
Rettig Family Health Care a Limestone Medical Center ClinicGroesbeck, TX, CCN 673480 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2015
Kosse Community Health Clinic a Limestone Medical Center ClinicKosse, TX, CCN 673482 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2015

Facilities with the same owner 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1669468617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MCCLINTIC DR",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766422128",
            "telephone_number": "254-729-3411",
            "fax_number": "254-729-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MCCLINTIC DR",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766422128",
            "telephone_number": "254-729-3411",
            "fax_number": "254-729-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LIMESTONE HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-729-3411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "000052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groesbeck, TX

Sources for this page

Verify at the official NPI Registry.