NPIMap

Organization Active NPI

Rankin County Hospital District

  • Emergency Medicine Physician
  • Rankin, TX
National Provider Identifier
1679880777
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
RANKIN COUNTY HOSPITAL DISTRICT
Practice address
1611 Spur 576
Rankin, TX 79778-2001
Phone
(432) 693-1200
Fax
(432) 693-1296
NPI assigned
Sep 10, 2010
Organization subpart
Yes
Parent organization
RANKIN COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Kathy Parker
Title
Business Office Manager
Phone
(432) 693-1206

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

1611 Spur 576
Rankin, TX 79778-2001

Mailing address

PO Box 327
Rankin, TX 79778-0327
Phone (432) 693-2443

Other names 1

  • Rankin Hospital ER Physician Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040329000186 TX Part B Supplier - Clinic/Group Practice 1254223852 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Rankin, TX
O20131121000265 TX Part B Supplier - Ambulance Service Supplier 1254223852 Practice locations: Rankin, TX

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Rankin Co Hosp District

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a1c02c8d-1bac-499e-a65c-6c958b95811a/

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Rankin County HospitalRankin, TX, CCN 451329 Hospital Operational/Managerial Control (100%) Jun 5, 2015
Rankin County HospitalRankin, TX, CCN 45Z329 Hospital Operational/Managerial Control (100%) Jun 5, 2015
Rankin County Hospital DistrictRankin, TX, CCN 673460 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 17, 2009
Mar 17, 2009

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1679880777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "RANKIN",
            "state": "TX",
            "postal_code": "797780327",
            "telephone_number": "432-693-2443",
            "fax_number": "432-693-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SPUR 576",
            "city": "RANKIN",
            "state": "TX",
            "postal_code": "797782001",
            "telephone_number": "432-693-1200",
            "fax_number": "432-693-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANKIN COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANKIN COUNTY HOSPITAL",
        "enumeration_date": "2010-09-10",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "432-693-1206"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rankin Hospital ER Physician",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rankin Hospital ER Physician",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rankin, TX

Sources for this page

Verify at the official NPI Registry.