Coryell County Memorial Hospital Authority

Key facts

NPI

1790729861

Entity type

Organization (NPI type 2)

Primary specialty

Medicare Defined Swing Bed Hospital Unit 275N00000X

Legal business name

CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

Practice address

1507 West Main Street
Gatesville, TX 76528-1024

Phone

(254) 248-6204

Fax

(254) 248-6306

NPI assigned

Jun 16, 2006

Organization subpart

No

Authorized official

Name

Kara Michelle Cox

Title

Business Office Director

Phone

(254) 248-3213

Owners & managing parties with NPI records 2

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

• Timothy D. Maynard, M.D. Family Medicine Physician · Gatesville, TX · NPI 1396706388
  CMS ownership CORPORATE DIRECTOR
• Diedra Deanne Wuenschel, D.O. Family Medicine Physician · Gatesville, TX · NPI 1902105471
  CMS ownership ADP OF THE SNF · CORPORATE DIRECTOR

Other NPIs on the same Medicare enrollment 1

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

• Coryell County Memorial Hospital Authority Nursing Facility/Intermediate Care Facility · Gatesville, TX · NPI 1447296264
  Same enrollment O20100303000563

Related certifications (CCN) 1

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

• Coryell County Memorial Hospital Authority Critical Access Hospital · Gatesville, TX · NPI 1780823021
  Provider of Services Unit of hospital

Affiliated clinicians 5

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

• Jesse Samuel Cover, MD Family Medicine Physician · Gatesville, TX · NPI 1366730301
  Care Compare affiliation Nursing home
• Adrian Marie Dirk, MD Family Medicine Physician · Gatesville, TX · NPI 1841553153
  Care Compare affiliation Nursing home
• Shrey Goel, MD Family Medicine Physician · Waco, TX · NPI 1376285197
  Care Compare affiliation Nursing home
• Zoe Michelle Walker, MD Family Medicine Physician · Gatesville, TX · NPI 1184987406
  Care Compare affiliation Nursing home
• Diedra Deanne Wuenschel, D.O. Family Medicine Physician · Gatesville, TX · NPI 1902105471
  Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as

Coryell Health Rehabliving at the Meadows CCN 675886

Overall star rating

★★★★☆ 4 of 5

Health inspections

★★★★☆ 4 of 5

Staffing

★★★☆☆ 3 of 5

Quality measures

★★☆☆☆ 2 of 5

Type

Medicare and Medicaid

Ownership

Government - Hospital district

Certified

Sep 20, 2001

Medicare certification status

Active (Provider of Services file)

Certified beds

106 · 97.1 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in TX

Hospital certification: CCN 45Z379

Legal name

CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

Doing business as

CORYELL HEALTH

Organization structure

Government · Non-profit

Incorporated

Nov 28, 1975 in TX

Enrollment address

1507 West Main Street
Gatesville, TX 76528-1024
Other Hospital Practice Location

Skilled nursing facility certification: CCN 675886

Legal name

CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

Doing business as

CORYELL HEALTH REHABLIVING AT THE MEADOWS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Sep 20, 2001

Last certification

Nov 27, 2024

Beds

106

Ownership / control type

Hospital District

Organization structure

Government · Non-profit

Enrollment address

110 Chicktown Rd
Gatesville, TX 76528-1035

Nursing home name

CORYELL HEALTH REHABLIVING AT THE MEADOWS

All disclosed owners & managing parties 11

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

All facility ownership & control disclosures 32

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

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Coryell Memorial Healthcare System SwingBed Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 25, 2025.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1790729861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 WEST MAIN STREET",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-248-6204",
            "fax_number": "254-248-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WEST MAIN STREET",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-248-6204",
            "fax_number": "254-248-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "254-248-3213"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coryell Memorial Healthcare System SwingBed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gatesville, TX

• Coryell County Memorial Hospital Authority
• Coryell County Memorial Hospital Authority
• Coryell County Memorial Hospital Authority
• Coryell County Memorial Hospital Authority
• Coryell County Memorial Hospital Authority
• Coryell County Memorial Hospital Authority
• Coryell County Memorial Hospital Authority
• Coryell Health
• Jesse Samuel Cover, MD
• Gary Lynn Cramer, D.P.M.

All providers in Gatesville, TX · Medicare Defined Swing Bed Hospital Unit in Texas