NPIMap

Organization Active NPI

Hamilton County Hospital District

Doing business as Hico Clinic

  • Rural Health Clinic/Center
  • Hico, TX
National Provider Identifier
1710135553
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HAMILTON COUNTY HOSPITAL DISTRICT
Doing business as
Hico Clinic
Practice address
104 Walnut St
Hico, TX 76457-0230
Phone
(254) 796-4224
Fax
(254) 796-4064
NPI assigned
Sep 5, 2008
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HAMILTON COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Mr. Biran Roland
Title
Ceo/Administrator
Phone
(254) 386-1600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X
Rural Health Clinic/Center 261QR1300X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

104 Walnut St
Hico, TX 76457-0230

Mailing address

400 N Brown St
Hamilton, TX 76531-1518
Phone (254) 386-1600

Other names 1

  • Hico Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090226000682 TX Part A Provider - Rural Health Clinic 2062326234 Practice locations: Hico, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710135553. Details of each certification follow.

Rural health clinic certification: CCN 458878

Legal name
HAMILTON COUNTY HOSPITAL DISTRICT
Doing business as
HICO CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 1, 2008
Last certification
Feb 21, 2018
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
104 Walnut St
Hico Clinic
Hico, TX 76457-0230
Related CCNs
450754

National Provider Directory

National Provider Directory
Tax ID family
Hamilton General Hospital62 organizations share this tax ID, including this one
Part of
Hamilton General Hospital

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

400 N Brown St
Hamilton, TX 76531
Phone (254) 386-1600

400 N Brown St
Bldg I
Hamilton, TX 76531
Phone (254) 386-1600

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Hamilton County Hospital District Organization, Hamilton, TX Operational/Managerial Control Oct 1, 2008
Grady Hooper Individual Corporate DirectorCeo Dec 1, 2015
W-2 Managing EmployeeCeo Dec 1, 2015
Janice Lewis Individual W-2 Managing EmployeeRevenue Cycle Director May 24, 2024

All facility ownership & control disclosures 55

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

FacilityTypeRoleSince
Hamilton General HospitalHamilton, TX, CCN 45Z392 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 7, 2007
Oct 7, 2007
Hamilton General HospitalHamilton, TX, CCN 451392 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 7, 2007
Oct 7, 2007
Pecan Creek Healthcare CenterHamilton, TX, CCN 455954 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2022
Bel Air at TeravistaRound Rock, TX, CCN 676345 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2025
Avir at KaufmanKaufman, TX, CCN 455962 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Riverside Nursing and Rehabilitation CenterAustin, TX, CCN 676246 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Brodie Ranch Nursing and Rehabilitation CenterAustin, TX, CCN 676267 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
West Oaks Nursing and Rehabilitation CenterAustin, TX, CCN 676095 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Goldthwaite Health & Rehab CenterGoldthwaite, TX, CCN 676086 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Onion Creek Nursing and Rehabilitation CenterAustin, TX, CCN 676271 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2022
Focused Care at HamiltonHamilton, TX, CCN 675140 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (100%)		 Apr 1, 2019
Apr 1, 2019
Mar 10, 2025
Apr 1, 2019
Hillview Nursing and RehabilitationGoldthwaite, TX, CCN 675388 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Park Manor Bee CaveBee Cave, TX, CCN 676373 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
The Eden of Las ColinasIrving, TX, CCN 675967 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2022
Park Manor of McKinneyMcKinney, TX, CCN 675175 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
Avir at BanderaBandera, TX, CCN 676233 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Park Valley Inn Health CenterRound Rock, TX, CCN 676471 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2020
May 1, 2020
Sundance Inn Health CenterNew Braunfels, TX, CCN 676472 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2020
Cross Country Healthcare CenterBrownwood, TX, CCN 675017 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2021
Coleman Healthcare CenterColeman, TX, CCN 675009 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2021
Advanced Rehabilitation and Healthcare of Wichita FallsWichita Falls, TX, CCN 675852 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Clarksville Nursing Center.Clarksville, TX, CCN 455985 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
SorrentoSan Antonio, TX, CCN 676378 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Coronado at Stone OakSan Antonio, TX, CCN 676353 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Palma RealMathis, TX, CCN 675312 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Colonial Manor Advanced Rehab & HealthcarePharr, TX, CCN 675044 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Advanced Health & Rehab Center of GarlandGarland, TX, CCN 455731 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Whispering Oaks Rehab & NursingCuero, TX, CCN 675134 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
The Laurenwood Nursing and RehabilitationDuncanville, TX, CCN 675806 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Henderson Health & Rehabilitation CenterHenderson, TX, CCN 455986 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
The Atrium Rehabilitation CenterSan Antonio, TX, CCN 675205 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Advanced Rehabilitation & Healthcare of Live OakLive Oak, TX, CCN 675437 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Lindan Park Care CenterRichardson, TX, CCN 675870 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Windemere at Westover HillsSan Antonio, TX, CCN 676402 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
The Renaissance at Kessler ParkDallas, TX, CCN 455996 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
The Lennwood Nursing and RehabilitationDallas, TX, CCN 675820 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Rosenberg Health & Rehabilitation CenterRosenberg, TX, CCN 675046 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Golden Estates Rehabilitation CenterSan Antonio, TX, CCN 675690 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2023
Stonemere Rehabilitation CenterFrisco, TX, CCN 676352 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2023
Inspiration Hills Rehabilitation CenterSan Antonio, TX, CCN 675138 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2023
Sulphur Springs Health and RehabilitationSulphur Springs, TX, CCN 455579 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Riverside OaksVictoria, TX, CCN 455726 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023
Avante Rehabilitation CenterIrving, TX, CCN 675908 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Collinwood Nursing and RehabilitationPlano, TX, CCN 675453 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Arbor Grace Guest Care CenterKilgore, TX, CCN 675814 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
The Reserve at RichardsonRichardson, TX, CCN 676448 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Cedar Hollow Rehabilitation CenterSherman, TX, CCN 676488 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Cedar Pointe Health and Wellness CenterCedar Park, TX, CCN 676432 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Millbrook Healthcare and Rehabilitation CenterLancaster, TX, CCN 676188 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
The Lakes at Texas CityTexas City, TX, CCN 455490 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 29, 2024
Greenville Health & Rehabilitation CenterGreenville, TX, CCN 675020 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Advanced Rehabilitation & Healthcare of BurlesonBurleson, TX, CCN 676496 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2024
Heritage House at Paris Rehab & NursingParis, TX, CCN 676294 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Family Practice Rural Health ClinicHamilton, TX, CCN 458540 Rural health clinic Operational/Managerial Control Jun 1, 2008
Family Practice Clinic of Mills CountyGoldthwaite, TX, CCN 458895 Rural health clinic Operational/Managerial Control Apr 1, 2009

Facilities with the same owner 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1710135553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BROWN ST",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765311518",
            "telephone_number": "254-386-1600",
            "fax_number": "254-386-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WALNUT ST",
            "city": "HICO",
            "state": "TX",
            "postal_code": "764570230",
            "telephone_number": "254-796-4224",
            "fax_number": "254-796-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAMILTON COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2008-09-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "BIRAN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "254-386-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hico Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hico, TX

Sources for this page

Verify at the official NPI Registry.