NPIMap

Organization Active NPI

County of Ward

Doing business as Ward Memorial Hospital

  • Critical Access Hospital
  • Monahans, TX
National Provider Identifier
1720096019
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
000468 Issued in TX
Legal business name
COUNTY OF WARD
Doing business as
Ward Memorial Hospital
Practice address
406 S Gary St
Monahans, TX 79756-4799
Phone
(432) 943-2511
Fax
(432) 943-6833
NPI assigned
Aug 3, 2006
Last updated
Feb 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Mr. John S. FausettNPI 1336141845
Title
Board Chairman
Phone
(432) 943-4892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

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 names 1

  • Ward Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720096019. Details of each certification follow.

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
GovernmentNon-profit
Enrollment address
406 S Gary Ave
Monahans, TX 79756-4799
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 5

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Ward Memorial HospitalCCN 451373 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Ward Countyward Mem Ho7 organizations share this tax ID, including this one

Other organizations with this 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.

  • County of Ward

    dba Ward Memorial Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Monahans, TX
    • NPI 1164430039

    Member Of

    NPD member

Locations

406 S Gary Ave
#A
Monahans, TX 79756

Ownership & related parties

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 OfficerCeo Jan 13, 2014
Corporate DirectorCeo Jan 13, 2014
W-2 Managing EmployeeCeo Jan 13, 2014 100%

Owners & managing parties with NPI records 5

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

  • County of Ward

    dba Ward County EMS

    • Land Ambulance
    • Monahans, TX
    • NPI 1104064807

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Ward

    dba Sandhills Family Clinic East

    • Rural Health Clinic/Center
    • Monahans, TX
    • NPI 1154805687

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Ward

    dba Ward Memorial Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Monahans, TX
    • NPI 1164430039

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Ward

    dba Sandhills Family Clinic

    • Rural Health Clinic/Center
    • Monahans, TX
    • NPI 1588672448

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Ward

    dba Ward Memorial Hospital ER Group

    • Emergency Medicine Physician
    • Monahans, TX
    • NPI 1881782423

    5% Or Greater Direct Ownership Interest

    CMS ownership

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 HospitalMonahans, TX, CCN 45Z373 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Sandhills Family ClinicMonahans, TX, CCN 458684 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Sandhills Family Clinic EastMonahans, TX, CCN 673475 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 4

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

  • County of Ward

    dba Sandhills Family Clinic East

    • Rural Health Clinic/Center
    • Monahans, TX
    • NPI 1154805687

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Ward

    dba Ward Memorial Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Monahans, TX
    • NPI 1164430039

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Ward

    dba Sandhills Family Clinic

    • Rural Health Clinic/Center
    • Monahans, TX
    • NPI 1588672448

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Ward

    dba Ward Memorial Hospital ER Group

    • Emergency Medicine Physician
    • Monahans, TX
    • NPI 1881782423

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

Affiliated clinicians 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1720096019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "79756",
            "telephone_number": "432-943-2511",
            "fax_number": "432-943-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S GARY ST",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797564799",
            "telephone_number": "432-943-2511",
            "fax_number": "432-943-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "FAUSETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "432-943-4892",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "000468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ward Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monahans, TX

Sources for this page

Verify at the official NPI Registry.