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Rankin County Hospital District

Organization Active NPI Critical Access Hospital · Rankin, TX

NPI 1811215510 · NPPES record last updated Jan 11, 2016

Key facts

NPI
1811215510
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
000290 (TX)
Legal business name
RANKIN COUNTY HOSPITAL DISTRICT
Practice address
1611 Spur 576
Rankin, TX 79778-0327
Phone
(432) 693-2443
Fax
(432) 693-2178
NPI assigned
May 6, 2010
Organization subpart
No

Authorized official

Name
Mr. James E Horton
Title
Ceo
Phone
(432) 693-1205

Owners & managing parties with NPI records 4

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

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 2

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

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

Facilities with the same owner 2

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

Affiliated clinicians 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Hospital certification: CCN 45Z329

Legal name
RANKIN COUNTY HOSPITAL DISTRICT
Doing business as
RANKIN COUNTY HOSPITAL
Organization structure
Other · Non-profit
Enrollment address
1611 Spur 576
Rankin, TX 79778-2001
Other Hospital Practice Location

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Kathy J Parker
Individual 		W-2 Managing Employee
Business Office Manager		 Sep 14, 2015
Rankin County Hospital District
Organization · Rankin, TX 		Operational/Managerial Control Jun 5, 2015 100%
James E Horton
Individual 		Corporate Officer
Ceo		 Sep 3, 2015
W-2 Managing Employee
Ceo		 Sep 3, 2015
Traci Anderson
Individual 		Corporate Director
Chief Financial Officer		 Feb 16, 2017
W-2 Managing Employee
Chief Financial Officer		 Feb 16, 2017

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Rankin County Hospital
Rankin, TX · CCN 451329		 Hospital Operational/Managerial Control (100%) Jun 5, 2015
Rankin County Hospital District
Rankin, TX · CCN 673460		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 17, 2009
Mar 17, 2009

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110407000704 TX Part a Provider - Critical Access Hospital 1254223852 1 other NPI on this enrollment
Practice locations: Rankin, TX

National Provider Directory

Tax ID family
Rankin Co Hosp District (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 000290 TX Yes
Skilled Nursing Facility 314000000X 000290 TX

Addresses

Primary practice location

1611 Spur 576
Rankin, TX 79778-0327

Mailing address

PO Box 327
Rankin, TX 79778-0327
Phone (432) 693-2443

Other identifiers

IdentifierTypeStateIssuer
1295739258MedicaidTX
121799406MedicaidTX
1217994-06MedicaidTX

Other providers in Rankin, TX

All providers in Rankin, TX · Critical Access Hospital in Texas

Sources for this page

Verify at the official NPI Registry.