NPIMap

Organization Active NPI

Ascension Seton

Doing business as Ascension Seton Bastrop Health Center

  • Rural Health Clinic/Center
  • Bastrop, TX
National Provider Identifier
1700392602
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ASCENSION SETON
Doing business as
Ascension Seton Bastrop Health Center
Practice address
630 Highway 71 W Ste E
Bastrop, TX 78602-4234
Phone
(512) 304-0313
Fax
(512) 304-0326
NPI assigned
Dec 14, 2017
Last updated
Mar 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION SETONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
William Davis
Title
President Ceo
Phone
(512) 324-1000

Specialties & licenses 1

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

Addresses

Primary practice location

630 Highway 71 W Ste E
Bastrop, TX 78602-4234

Mailing address

1345 Philomena St
362
Austin, TX 78723
Phone (512) 324-1000

Other names 1

  • Ascension Seton Bastrop Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031126000173 TX Part B Supplier - Clinic/Group Practice 5193634293 Receives reassigned benefits from 116 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Smithville, TX; Marble Falls, TX; Luling, TX; Lockhart, TX; Lampasas, TX; Elgin, TX; Dripping Springs, TX; Burnet, TX…
O20180413000395 TX Part A Provider - Rural Health Clinic 5193634293 Practice locations: Bastrop, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700392602. Details of each certification follow.

Rural health clinic certification: CCN 673470

Legal name
ASCENSION SETON
Doing business as
ASCENSION SETON BASTROP HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 7, 2018
Last certification
Sep 11, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Apr 5, 1900 in TX
Enrollment address
630 Highway 71 W, Ste E
Bastrop, TX 78602-4234
Related CCNs
451371

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

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory
Part of
Daughters of Charity Health Services of Austin

Member organizations 37

Organizations listed as members of this organization in the National Provider Directory.

View all 37

Locations

630 W State Highway 71
Bastrop, TX 78602
Phone (737) 881-4234

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Chris Wheeler Individual Corporate DirectorBoard Member Jul 1, 2022
William Andy Davis Individual Corporate DirectorCeo Ascension Texas Nov 27, 2017
Ascension Seton Organization, Austin, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 2, 2018 100%
Karen Kennards Individual Corporate Director Nov 21, 2024
Ascension Texas Organization, Austin, TX Corporation, Non-profit Operational/Managerial Control Feb 20, 2018
Ashley M Dickinson Individual Corporate DirectorBoard Member Aug 1, 2023
Jeffrey T Manning Individual Corporate DirectorBoard Member Jul 1, 2020
Julie Holly Individual Corporate Director Mar 4, 2013
Jace Davis Jones Individual W-2 Managing EmployeeHospital Administrator Feb 6, 2023
John Patrick Atkins Individual Corporate Director Jul 1, 2022
Brent Porter Individual Operational/Managerial ControlMedical Director Dec 20, 2016
Ascension Health Organization, Saint Louis, MO Corporation, Non-profit Operational/Managerial Control Feb 20, 2018
Samson W Jesudass Individual Corporate DirectorChief Clinical Officer Sep 1, 2017
Dave F Clarke Individual Corporate DirectorBoard Member Jul 1, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 32

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

FacilityTypeRoleSince
Ascension Seton SouthwestAustin, TX, CCN 450865 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 20, 2000
Ascension Seton NorthwestAustin, TX, CCN 450867 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2003
Feb 1, 2009
Ascension Seton Medical Center AustinAustin, TX, CCN 450056 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Apr 5, 1900
Apr 5, 1900
Dell Seton Medical Center at the University of TexasAustin, TX, CCN 450124 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Feb 1, 2009
Feb 1, 2009
Ascension Seton Highland LakesBurnet, TX, CCN 451365 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 20, 2006
Ascension Seton Edgar B DavisLuling, TX, CCN 45Z371 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Feb 1, 1999
Feb 1, 1999
Northwest Hills Surgical HospitalAustin, TX, CCN 450808 Hospital 5% Or Greater Indirect Ownership Interest (51%) Jul 1, 2020
Dell Children's Medical CenterAustin, TX, CCN 453310 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 15, 2007
May 15, 2007
Central Texas Rehabilitation HospitalAustin, TX, CCN 673027 Hospital 5% Or Greater Direct Ownership Interest (20%) Jul 25, 2007
Ascension Seton WilliamsonRound Rock, TX, CCN 670041 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2008
Ascension Seton Cedar ParkCedar Park, TX, CCN 670043 Hospital Operational/Managerial Control Jun 30, 2025
Ascension Seton Edgar B. DavisLuling, TX, CCN 451371 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 1999
Ascension Seton HaysKyle, TX, CCN 670056 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Sep 1, 2009
Sep 1, 2009
Ascension Seton Highland LakesBurnet, TX, CCN 45Z365 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jun 20, 2006
Jun 20, 2006
Seton Medical Center Harker HeightsHarker Heights, TX, CCN 670080 Hospital 5% Or Greater Direct Ownership Interest (20%) Jun 18, 2012
Cross Creek HospitalAustin, TX, CCN 454133 Hospital 5% Or Greater Direct Ownership Interest (11.8%) Aug 18, 2025
Pam Rehabilitation Hospital of Round RockRound Rock, TX, CCN 673069 Hospital 5% Or Greater Direct Ownership Interest (25%) Apr 7, 2017
Ascension Seton SmithvilleSmithville, TX, CCN 671304 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2024
Ascension Seton SmithvilleSmithville, TX, CCN 67Z304 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2024
Ascension Seton Lockhart Health Center ColoradoLockhart, TX, CCN 458819 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Feb 1, 2009
Feb 1, 2009
Ascension Seton Burnet Health CenterBurnet, TX, CCN 458825 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 16, 2002
Dec 16, 2002
Children's Care-a-VanBurnet, TX, CCN 458844 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2003
Children's Care-a-VanLockhart, TX, CCN 458845 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 19, 1998
Ascension Seton Bertram Health CenterBertram, TX, CCN 458876 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 8, 2006
Dec 8, 2006
Ascension Seton Lampasas Health CenterLampasas, TX, CCN 458887 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2008
May 1, 2008
Ascension Seton Kingsland Health CenterKingsland, TX, CCN 673450 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2013
Ascension Seton Luling Health CenterLuling, TX, CCN 673449 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2013
Ascension Seton Lockhart Health Center CommerceLockhart, TX, CCN 673463 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 15, 2017
Ascension Seton Lockhart Health Center ChurchLockhart, TX, CCN 673462 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 15, 2017
Ascension Seton Smithville Health CenterSmithville, TX, CCN 673469 Rural health clinic 5% Or Greater Direct Ownership Interest Feb 20, 2018
Ascension Seton Elgin Health CenterElgin, TX, CCN 673484 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2020
Ascension Seton Dripping Springs Health CenterDripping Springs, TX, CCN 678549 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 9, 2020

Facilities with the same owner 162

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

  • Ascension Providence
    • General Acute Care Hospital
    • Waco, TX
    • NPI 1093708679

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Providence

    dba Ascension Providence Salome Inpatient Rehabilitation Center

    • Rehabilitation Hospital Unit
    • Waco, TX
    • NPI 1497559140

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Highland Lakes

    • Critical Access Hospital
    • Burnet, TX
    • NPI 1003833013

    Ascension Health, Ascension Seton, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Dell Seton Medical Center at the University of Texas

    • General Acute Care Hospital
    • Austin, TX
    • NPI 1093810327

    Ascension Health, Ascension Seton, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Northwest

    • General Acute Care Hospital
    • Austin, TX
    • NPI 1124137054

    Ascension Health, Ascension Seton, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Childrens Care A Van

    • Rural Health Clinic/Center
    • Lockhart, TX
    • NPI 1144325481

    Ascension Health, Ascension Seton, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Children's Care-a-Van

    • Rural Health Clinic/Center
    • Burnet, TX
    • NPI 1164445094

    Ascension Health, Ascension Seton, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Medical Center Austin

    • General Acute Care Hospital
    • Austin, TX
    • NPI 1164526786

    Ascension Health, Ascension Seton

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Kingsland Health Center

    • Rural Health Clinic/Center
    • Kingsland, TX
    • NPI 1205263134

    Ascension Health, Ascension Seton, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Lockhart Health Center

    • Rural Health Clinic/Center
    • Lockhart, TX
    • NPI 1235234576

    Ascension Health, Ascension Seton, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Highland Lakes -Swing

    • Medicare Defined Swing Bed Hospital Unit
    • Burnet, TX
    • NPI 1346263274

    Ascension Health, Ascension Seton, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Dripping Springs Health Center

    • Rural Health Clinic/Center
    • Dripping Springs, TX
    • NPI 1346862752

    Ascension Health, Ascension Seton, Ascension Texas

    CMS ownership
View all 162

Practitioners & affiliated clinicians

Practitioners 4

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": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1700392602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 PHILOMENA ST",
            "address_2": "362",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-324-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 HIGHWAY 71 W STE E",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024234",
            "telephone_number": "512-304-0313",
            "fax_number": "512-304-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION SETON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION SETON",
        "enumeration_date": "2017-12-14",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "512-324-1000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Seton Bastrop Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.