NPIMap

Organization Active NPI

Eastland Memorial Hospital District

Doing business as Walnut Street Clinic

  • Rural Health Clinic/Center
  • Ranger, TX
National Provider Identifier
1760005953
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Doing business as
Walnut Street Clinic
Practice address
Walnut Street Clinic
200 Walnut Street Clinic
Ranger, TX 76448-7644
Phone
(254) 647-1182
NPI assigned
May 21, 2020
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
EASTLAND MEMORIAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Stephen Clay Taylor
Title
Ceo
Phone
(254) 631-5342

Specialties & licenses 1

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

Addresses

Primary practice location

Walnut Street Clinic
200 Walnut Street Clinic
Ranger, TX 76448-7644

Mailing address

Walnut Street Clinic
304 S. Daugherty Street
Eastland, TX 76448
Phone (254) 631-5342

Other identifiers 1

IdentifierTypeStateIssuer
45D0487940OtherTXCLIA

Other names 1

  • Walnut Street Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200803002549 TX Part A Provider - Rural Health Clinic 3072412725 Practice locations: Ranger, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760005953. Details of each certification follow.

Rural health clinic certification: CCN 678550

Legal name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Doing business as
EASTLAND MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 10, 2021
Last certification
May 29, 2024
Ownership / control type
2B
Organization structure
GovernmentNon-profit
Enrollment address
200 Walnut St
Ranger, TX 76470-2054
Related CCNs
450411

National Provider Directory

National Provider Directory
Tax ID family
Eastland Memorial Hospi38 organizations share this tax ID, including this one
Part of
Eastland Memorial Hospi

Other organizations with this tax ID 37

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

View all 37

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Amy L Obrien-Glenn Individual Corporate DirectorBoard Member Mar 1, 2025
William H Hoffman Individual Corporate DirectorPresident May 1, 2021
Matthew D Crum Individual Corporate DirectorBoard Member May 1, 2026
Stephen K Joiner Individual Corporate DirectorTreasurer May 1, 2021
Eastland Memorial Hospital District Organization, Eastland, TX 5% Or Greater Direct Ownership Interest Aug 1, 2019 100%
Ryder F Warren Individual Corporate DirectorBoard Member Apr 1, 2026
Stephen C Taylor Individual Corporate DirectorChief Executive Officer Jul 1, 2025
W-2 Managing EmployeeChief Executive Officer Jul 1, 2025
Nancy K Stewart Individual Corporate DirectorVice President May 1, 2013
Donald W Hughes Individual Corporate DirectorBoard Member May 1, 2022
Emily Rogers Individual Corporate DirectorChief Operations Officer Jan 1, 2022
W-2 Managing EmployeeChief Operations Officer Dec 31, 2018
Richard Barron Individual Corporate DirectorBoard Member May 1, 2022
Missy Moylan Individual Corporate DirectorBoard Member May 1, 2016

All facility ownership & control disclosures 36

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

FacilityTypeRoleSince
Eastland Memorial HospitalEastland, TX, CCN 671303 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 20, 2023
Mar 20, 2023
Eastland Memorial HospitalEastland, TX, CCN 67Z303 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 20, 2023
Mar 20, 2023
Northern Oaks Living and Rehabilitation CenterAbilene, TX, CCN 455934 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Avir at CiscoCisco, TX, CCN 675259 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Willowbend Nursing and Rehabilitation Center.Mesquite, TX, CCN 675272 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 20, 2015
Wisteria PlaceAbilene, TX, CCN 675593 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
The WoodlandsEastland, TX, CCN 675001 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Golden Acres Living and Rehabilitation CenterDallas, TX, CCN 675081 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 20, 2015
Heritage Gardens Rehabilitation and HealthcareCarrollton, TX, CCN 675111 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Lake Village Nursing and Rehabilitation CenterLewisville, TX, CCN 675560 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Mesa Springs Healthcare CenterAbilene, TX, CCN 675645 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Westpark Rehabilitation and LivingEuless, TX, CCN 676029 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Carrollton Health and Rehabilitation CenterCarrollton, TX, CCN 675972 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Wellington Rehabilitation and HealthcareTemple, TX, CCN 455637 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at Fort WorthFort Worth, TX, CCN 676132 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Green Valley Healthcare and Rehabilitation CenterForth Worth, TX, CCN 676161 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Cross Timbers Rehabilitation and Healthcare CenterFlower Mound, TX, CCN 675703 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at ItascaItasca, TX, CCN 675712 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2017
Richland Hills Rehabilitation and Healthcare CenterRichland Hills, TX, CCN 455576 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Avir at HillsboroHillsboro, TX, CCN 675096 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2017
Terrell Healthcare CenterTerrell, TX, CCN 675879 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Legend Oaks Healthcare and Rehabilitation - WaxahachieWaxahachie, TX, CCN 676421 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Legend Oaks Healthcare and Rehabilitation - GarlandGarland, TX, CCN 676413 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
The Villages of DallasDallas, TX, CCN 675611 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Legend Oaks Healthcare and Rehabilitation - Fort WorthFort Worth, TX, CCN 676426 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Keller Oaks Healthcare CenterKeller, TX, CCN 676023 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2019
Pleasant Manor Healthcare and RehabilitationWaxahachie, TX, CCN 675889 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019
Crestwood Health and Rehabilitation CenterWills Point, TX, CCN 675597 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2019
The Oaks at Radford Hills Healthcare CenterAbilene, TX, CCN 675330 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
Ridgecrest Retirement and Healthcare CommunityWaco, TX, CCN 455670 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2021
Pleasant Valley Healthcare and Rehabilitation CenterGarland, TX, CCN 675305 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2022
McKinney Healthcare and Rehabilitation CenterMcKinney, TX, CCN 675004 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Windsor Rehabilitation and HealthcareTerrell, TX, CCN 675808 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Beacon Harbor Healthcare and RehabilitationRockwall, TX, CCN 675579 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2024
Rowlett Health and Rehabilitation CenterRowlett, TX, CCN 455904 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Emh Regional Healthcare ClinicEastland, TX, CCN 673490 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019

Facilities with the same owner 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1760005953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WALNUT STREET CLINIC",
            "address_2": "304 S. DAUGHERTY STREET",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "76448",
            "telephone_number": "254-631-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALNUT STREET CLINIC",
            "address_2": "200 WALNUT STREET CLINIC",
            "city": "RANGER",
            "state": "TX",
            "postal_code": "764487644",
            "telephone_number": "254-647-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAND MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTLAND MEMORIAL HOSPITAL DISTRICT",
        "enumeration_date": "2020-05-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-631-5342"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0487940",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Street Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walnut Street Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ranger, TX

Sources for this page

Verify at the official NPI Registry.