NPIMap

County of Ward

Organization Active NPI Critical Access Hospital · Monahans, TX

NPI 1720096019 · NPPES record last updated Feb 20, 2009

Key facts

NPI
1720096019
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
000468 (TX)
Legal business name
COUNTY OF WARD
Practice address
406 S Gary St
Monahans, TX 79756-4799
Phone
(432) 943-2511
Fax
(432) 943-6833
NPI assigned
Aug 3, 2006
Organization subpart
No

Authorized official

Name
Mr. John S. Fausett
Title
Board Chairman
Phone
(432) 943-4892

Owners & managing parties with NPI records 5

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

Owned or controlled facilities with NPI records 4

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

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

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

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

Facilities with the same owner 3

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

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 53

Affiliated clinicians 42

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 42

Medicare Care Compare: Hospital

Listed as
Ward Memorial Hospital CCN 451373
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Hospital certification: CCN 451373

Legal name
COUNTY OF WARD
Doing business as
WARD MEMORIAL HOSPITAL ER GROUP
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 31, 2005
Last certification
Jun 29, 2022
Beds
25
Ownership / control type
Local
Organization structure
Government · Non-profit
Enrollment address
406 S Gary Ave
Monahans, TX 79756-4799
Main/Primary Hospital Location

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.

NameRoleSinceShare
County of Ward
Organization · Monahans, TX 		5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
Leticia C Rodriguez
Individual 		Corporate Officer
Ceo		 Jan 13, 2014
Corporate Director
Ceo		 Jan 13, 2014
W-2 Managing Employee
Ceo		 Jan 13, 2014 100%

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Ward Memorial Hospital
Monahans, TX · CCN 45Z373		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Sandhills Family Clinic
Monahans, TX · CCN 458684		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Sandhills Family Clinic East
Monahans, TX · CCN 673475		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061104000162 TX Part a Provider - Critical Access Hospital 1456261494 Receives reassigned benefits from 48 practitioners
1 other NPI on this enrollment
Practice locations: Monahans, TX

National Provider Directory

Tax ID family
Judith a Moss DO (7 organizations share this tax ID)

Locations

406 S Gary Ave
#A
Monahans, TX 79756

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 000468 TX Yes

Addresses

Primary practice location

406 S Gary St
Monahans, TX 79756-4799

Mailing address

PO Box 40
Monahans, TX 79756
Phone (432) 943-2511

Other identifiers

IdentifierTypeStateIssuer
136331910MedicaidTX
102423OtherTXCHIPS
136331907MedicaidTX
106899100OtherTXFIRSTCARE SW HEALTH
HH0095OtherTXBLUE CROSS BLUE SHIELD TX

Other names

  • Ward Memorial Hospital Doing business as

Other providers in Monahans, TX

All providers in Monahans, TX · Critical Access Hospital in Texas

Sources for this page

Verify at the official NPI Registry.