NPIMap

Organization Active NPI

Johns Community Hospital

  • Durable Medical Equipment & Medical Supplies
  • Taylor, TX
National Provider Identifier
1679797831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
44 Issued in TX
Legal business name
JOHNS COMMUNITY HOSPITAL
Practice address
305 Mallard LN
Taylor, TX 76574-1208
Phone
(512) 352-4716
Fax
(512) 352-4734
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ernest Balla, RN, MBA
Title
Ceo
Phone
(512) 352-4716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 44 TX Primary

Addresses

Primary practice location

305 Mallard LN
Taylor, TX 76574-1208

Mailing address

305 Mallard LN
Taylor, TX 76574-1208
Phone (512) 352-4716

Other names 1

  • DME Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679797831. Details of each certification follow.

Hospital certification: CCN 450020

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
JOHNS COMMUNITY HOSPITAL
Certification status
Terminated Other: provider status change, Dec 20, 2005
Provider type (POS)
Hospital – Short-term
Participating since
Feb 1, 1968
Last certification
May 20, 1992
Beds
58
Ownership / control type
Private (not for profit)
Facility address
305 Mallard LN
Taylor, TX 76574

National Provider Directory

National Provider Directory
Tax ID family
Scott White Hospital Taylo5 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.

Locations

2401 W Horizon Ridge Pkwy
Ste 10
Henderson, NV 89052

425 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100

305 Mallard Ln
#A
Taylor, TX 76574
Phone (361) 945-7710

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679797831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741208",
            "telephone_number": "512-352-4716",
            "fax_number": "512-352-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741208",
            "telephone_number": "512-352-4716",
            "fax_number": "512-352-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLA",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-352-4716",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taylor, TX

Sources for this page

Verify at the official NPI Registry.