Starr County Memorial Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

STARR COUNTY MEMORIAL HOSPITAL

Doing business as

Roma Family Health Clinic

Practice address

1861 N Highway 83
Roma, TX 78584-0000

Phone

(956) 849-0674

Fax

(956) 847-1777

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Thalia H Munoz, RN, MS

Title

Administrator

Phone

(956) 487-5561

Specialties & licenses 1

Addresses

Other names 1

• Roma Family Health Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699804534. Details of each certification follow.

• CCN 458812 Rural health clinic · Active · Details

Rural health clinic certification: CCN 458812

Legal name

STARR COUNTY HOSPITAL DISTRICT

Doing business as

ROMA FAMILY HEALTH CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Dec 13, 2000

Last certification

Sep 25, 2018

Ownership / control type

Non-profit – church related

Organization structure

OtherNon-profit

Enrollment address

640 E Bravo Blvd
Roma Family Health Clinic
Roma, TX 78584-5720

Related CCNs

450654

Related certifications (CCN) 3

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

• Starr County Hospital District

  dba Starr County Memorial Hospital

  • Rural Acute Care Hospital
  • Rio Grande City, TX
  • NPI 1760567085

  Parent provider

  Provider of Services
• Starr County Memorial Hospital

  • Ambulance
  • Rio Grande City, TX
  • NPI 1063543445

  Parent provider

  Provider of Services
• Starr County Memorial Hospital

  • Rural Acute Care Hospital
  • Rio Grande City, TX
  • NPI 1437287091

  Parent provider

  Provider of Services

Other NPIs on the same Medicare enrollment 1

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

• Starr County Hospital District

  dba Roma Family Health Clinic

  • Rural Health Clinic/Center
  • Roma, TX
  • NPI 1023173507

  O20070118000571

  Same enrollment

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699804534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785820078",
            "telephone_number": "956-849-0674",
            "fax_number": "956-847-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 N HIGHWAY 83",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785840000",
            "telephone_number": "956-849-0674",
            "fax_number": "956-847-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARR COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "THALIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-487-5561",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MS"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roma Family Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Smile Medical Equipment & Supplies
• St. Louis Angels LLC
• Stanislaus Nwafor Uzoigwe MD PA (Pediatric Practice Association)
• Stanislaus Nwafor Uzoigwe MD PA
• Starr County Hospital District (Roma Family Health Clinic)
• Starr Pediatrics Health Clinic LLC
• Maria Valdez
• Valley Medical Association, P.a.
• Alfredo Villarreal, RN
• Volver a Casa Home Health Services Inc. (Volver A Casa Provider Services)

• Rural Health Clinic/Center in Roma, TX
• Providers in Roma, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.