NPIMap

Organization Active NPI

South Texas Rural Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Big Wells, TX
National Provider Identifier
1740512755
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTH TEXAS RURAL HEALTH SERVICES, INC.
Practice address
1502 Grand Ave
Big Wells, TX 78830
Phone
(830) 879-3047
Fax
(830) 879-2940
NPI assigned
Feb 2, 2010
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Ms. Myrta Garcia
Title
Ceo
Phone
(830) 879-3047

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

1502 Grand Ave
Big Wells, TX 78830

Mailing address

PO Box 599
Cotulla, TX 78014-0599
Phone (830) 879-3047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100223000336 TX Part A Provider - Federally Qualified Health Center (FQHC) 0446248231 Practice locations: Big Wells, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740512755. Details of each certification follow.

Federally qualified health center certification: CCN 671937

Legal name
SOUTH TEXAS RURAL HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 5, 2010
Last certification
Mar 5, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1975 in TX
Enrollment address
1502 Grand Ave
Big Wells, TX 78830-0368

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
South TX Rural Health S14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Johnny Gloria Individual Corporate DirectorBoard Member Sep 20, 2003
Rodrigo Jaime Individual Corporate Director Sep 23, 2021
Carlos Ramos Individual Corporate DirectorBoard Member Feb 1, 2008
Alma Salinas Individual Corporate DirectorBoard Member May 7, 2003
Jose Calderon Asuncion Individual Corporate DirectorBoard Member Jun 8, 2017
Alvina Patterson Individual Corporate Director Aug 27, 2020
Susan Garcia Individual Corporate DirectorBoard Member Oct 6, 2011
Analee Chapa Individual Corporate Director Apr 25, 2019
Myrta Garcia Individual Corporate Officer Apr 1, 2022
W-2 Managing Employee Apr 1, 2022
Operational/Managerial Control Apr 1, 2022
Velia H Dana Individual Corporate DirectorBoard Member Apr 1, 2006
Yolanda Trevino Individual Corporate DirectorBoard Member Aug 8, 1994
Sayna Ana Rodriguez Individual Corporate DirectorBoard Member Apr 30, 2015
Robin Jones Individual Corporate DirectorBoard Member Jul 27, 2008
Graciela Perez Individual Corporate DirectorBoard Member Jan 14, 2013
Pete Daniel Aguilar Individual Corporate DirectorBoard Member Apr 1, 2006
Lauro Flores Individual Corporate DirectorBoard Member Mar 9, 2008
Juan Carmona Individual Corporate DirectorBoard Member Mar 2, 2010
Diana Rodriguez Individual Corporate DirectorBoard Member Mar 9, 2009
Maria Alma Galvan Individual Corporate DirectorBoard Member Mar 12, 2015

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1740512755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "city": "COTULLA",
            "state": "TX",
            "postal_code": "780140599",
            "telephone_number": "830-879-3047",
            "fax_number": "830-879-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 GRAND AVE",
            "city": "BIG WELLS",
            "state": "TX",
            "postal_code": "78830",
            "telephone_number": "830-879-3047",
            "fax_number": "830-879-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS RURAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MYRTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-879-3047",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.