NPIMap

Organization Active NPI

Seminole Hospital District of Gaines County Texas

Doing business as Memorial Hospital

  • Critical Access Hospital
  • Seminole, TX
National Provider Identifier
1821025990
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
000113 Issued in TX
Legal business name
SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS
Doing business as
Memorial Hospital
Practice address
209 NW 8TH St
Seminole, TX 79360-3447
Phone
(432) 758-5811
NPI assigned
Jun 26, 2006
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Maegen Garner
Title
Coo
Phone
(432) 758-4814

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X
Emergency Care Clinic/Center 261QE0002X
Medicare Defined Swing Bed Hospital Unit 275N00000X 00113 TX
Critical Access Hospital 282NC0060X 000113 TX Primary
Certified Registered Nurse Anesthetist 367500000X 219294 TX

Addresses

Primary practice location

209 NW 8TH St
Seminole, TX 79360-3447

Mailing address

209 NW 8TH St
Seminole, TX 79360-3447
Phone (432) 758-5811

Other identifiers 6

IdentifierTypeStateIssuer
094121303MedicaidTX
023219102MedicaidTX
025243901MedicaidTX
088893501MedicaidTX
HH0223OtherTXBLUE CROSS BLUE SHIELF
094121301MedicaidTX

Other names 1

  • Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040428000104 TX Part B Supplier - Clinic/Group Practice 2668382516 Receives reassigned benefits from 115 practitioners
Practice locations: Seminole, TX
O20061104000511 TX Part A Provider - Critical Access Hospital 2668382516 Receives reassigned benefits from 58 practitioners
Practice locations: Seminole, TX
O20090615000670 TX Part A Provider - Critical Access Hospital 2668382516 Receives reassigned benefits from 1 practitioner
Practice locations: Seminole, TX

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1821025990. Details of each certification follow.

Hospital certification: CCN 451358

Legal name
SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS
Doing business as
MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2004
Last certification
Nov 29, 2023
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
209 NW 8TH St
Seminole, TX 79360-3447
Main/Primary Hospital Location

Hospital certification: CCN 45Z358

Legal name
SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS
Doing business as
MEMORIAL HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
209 NW 8TH St
Seminole, TX 79360-3447

Hospital certification: CCN 450160

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MEMORIAL HOSPITAL (451358)
Certification status
Terminated Voluntary: merger or closure, Jul 30, 2004
Provider type (POS)
Hospital – Short-term
Participating since
Jul 22, 1971
Last certification
Jan 22, 2002
Beds
49 (39 certified)
Ownership / control type
Hospital district or authority
Facility address
209 N W 8TH St
Seminole, TX 79360

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorial HospitalCCN 451358 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

6213 Colleyville Blvd
Ste 150
Colleyville, TX 76034
Phone (817) 812-3044

209 NW 8th St
#1
Seminole, TX 79360

209 NW 8th St
Ste A
Seminole, TX 79360

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Robert Brandt Individual Corporate OfficerCeo Jan 1, 2025
Corporate DirectorCeo Jan 1, 2025
W-2 Managing EmployeeCeo Jan 1, 2025
Corporate OfficerCeo Jan 1, 2026
Corporate DirectorCeo Jan 1, 2026
W-2 Managing EmployeeCeo Jan 1, 2026
Peter Guenther Individual Corporate DirectorBoard Member Jan 1, 2023
Corporate OfficerBoard Member Jan 1, 2023
Josie King Individual Corporate DirectorBoard Member Jun 11, 2019
Maegen Garner Individual Corporate OfficerCeo Nov 7, 2022
Corporate OfficerCoo Jan 1, 2023
Corporate DirectorCoo Jan 1, 2023
W-2 Managing EmployeeCoo Jan 1, 2023
Seminole Hospital District of Gaines County Texas Organization, Seminole, TX 5% Or Greater Direct Ownership Interest May 15, 2008 100%
Dean Otey Individual Corporate OfficerCfo Jan 1, 2025
Corporate DirectorCfo Jan 1, 2025
W-2 Managing EmployeeCfo Jan 1, 2025
Jay Youngblood Individual Corporate DirectorBoard President Jan 1, 2023
Corporate OfficerBoard President Jan 1, 2023
Lance Lovelady Individual Corporate DirectorBoard Vice President Jan 1, 2023
Corporate OfficerBoard Vice President Jan 1, 2023

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Seminole Family Medical ClinicSeminole, TX, CCN 673435 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2014

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 179

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.

View all 179

Affiliated clinicians 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1821025990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NW 8TH ST",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603447",
            "telephone_number": "432-758-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NW 8TH ST",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603447",
            "telephone_number": "432-758-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "MAEGEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "432-758-4814"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "00113",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "000113",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "219294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094121303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023219102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025243901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088893501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELF",
            "identifier": "HH0223",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094121301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seminole, TX

Sources for this page

Verify at the official NPI Registry.