NPIMap

Organization Active NPI

Baylor County Hospital District

Doing business as Seymour Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Seymour, TX
National Provider Identifier
1740358803
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BAYLOR COUNTY HOSPITAL DISTRICT
Doing business as
Seymour Hospital Rural Health Clinic
Practice address
201 Stadium Drive
Seymour, TX 76380
Phone
(940) 889-5583
Fax
(940) 889-8835
NPI assigned
Nov 30, 2006
Last updated
Apr 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Mrs. Leslie Hardin
Title
Ceo
Phone
(940) 889-5572

Specialties & licenses 1

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

Addresses

Primary practice location

201 Stadium Drive
Seymour, TX 76380

Mailing address

201 Stadium Drive
Seymour, TX 76380
Phone (940) 889-5583

Other identifiers 3

IdentifierTypeStateIssuer
138353111MedicaidTX
000R33ROtherBC BS
138353110MedicaidTX

Other names 1

  • Seymour Hospital Rural Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401000394 TX Part A Provider - Rural Health Clinic 6103739222 Practice locations: Seymour, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740358803. Details of each certification follow.

Rural health clinic certification: CCN 458573

Legal name
BAYLOR COUNTY HOSPITAL DISTRICT
Doing business as
SEYMOUR HOSPITAL RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 1, 1994
Last certification
Jan 5, 2016
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
201 Stadium Dr
Seymour Hospital Rural Health Clinic
Seymour, TX 76380-2343
Related CCNs
450586

Other NPIs with the same Medicare PAC ID 8

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0919379Seymour Hospital Rural Health Clinic201 Stadium Drive, Suite 3, Seymour, TX 76380Certificate of waiverSep 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Baylor County Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Larry Wayne Howard Individual W-2 Managing EmployeePA at Clinic Mar 26, 2004
Rilda Novak Individual Corporate DirectorBoard Member-President Jun 22, 1999
Juanima Kay Bradley Individual Corporate DirectorBoard Member/Secretary May 23, 2016
Newton Deweber Individual Corporate DirectorBoard Member-Vice President Jun 29, 2004
Carolyn Howry Individual Corporate DirectorBoard Member Mar 25, 2019
Terry Bench Individual Corporate DirectorBoard Member May 20, 2016
Leslie Hardin Individual W-2 Managing Employee Jan 26, 2006
Krystal Butler Individual Corporate DirectorBoard Member May 28, 2019
Baylor County Hospital District Organization, Munday, TX Operational/Managerial Control Aug 14, 2003

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Seymour HospitalSeymour, TX, CCN 451399 Hospital Operational/Managerial Control Nov 16, 2021
Seymour HospitalSeymour, TX, CCN 45Z399 Hospital Operational/Managerial Control Nov 16, 2021
Advanced Rehabilitation and Healthcare of VernonVernon, TX, CCN 455931 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Seymour Rehabilitation and HealthcareSeymour, TX, CCN 675042 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Cherokee Trails Nursing HomeRusk, TX, CCN 675835 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Tomball Rehab & NursingTomball, TX, CCN 675714 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Seymour Hospital Home HealthSeymour, TX, CCN 458006 Home health agency Operational/Managerial Control Jan 26, 2006

Owned or controlled facilities with NPI records 7

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

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 12

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1740358803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STADIUM DRIVE",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "76380",
            "telephone_number": "940-889-5583",
            "fax_number": "940-889-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STADIUM DRIVE",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "76380",
            "telephone_number": "940-889-5583",
            "fax_number": "940-889-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-889-5572",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138353111",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "000R33R",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138353110",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seymour Hospital Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seymour Hospital Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, TX

Sources for this page

Verify at the official NPI Registry.