NPIMap

Organization Active NPI

Refugio County Memorial Hospital District

  • Emergency Medicine Physician
  • Refugio, TX
National Provider Identifier
1821178336
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT
Practice address
107 Swift St
Refugio, TX 78377-2425
Phone
(361) 526-2321
Fax
(361) 526-2420
NPI assigned
Oct 17, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Mr. Corey Wasicek
Title
Ceo
Phone
(361) 526-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

107 Swift St
Refugio, TX 78377-2425

Mailing address

107 Swift St
Refugio, TX 78377-2425

Other identifiers 1

IdentifierTypeStateIssuer
084616401MedicaidTX

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rmac@rcmh.cernerdirect.com Direct
Direct Messaging Address pscherrer@rcmh.cernerdirect.com Direct
Direct Messaging Address jwineman@rcmh.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220000853 TX Part B Supplier - Clinic/Group Practice 1153216783 Receives reassigned benefits from 40 practitioners
Practice locations: Refugio, TX

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Part of
Refugio County Memorial Hospital District

Locations

8637 Fredericksburg Rd
San Antonio, TX 78240
Phone (888) 781-9355

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Refugio County Memorial Hospital DistrictRefugio, TX, CCN 451317 Hospital Operational/Managerial Control (100%) Aug 1, 1999
Refugio County Memorial Hospital DistrictRefugio, TX, CCN 45Z317 Hospital Operational/Managerial Control (100%) Nov 5, 2021
Woodsboro Medical ClinicWoodsboro, TX, CCN 673982 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 5, 2021

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 43

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 43

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1821178336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SWIFT ST",
            "city": "REFUGIO",
            "state": "TX",
            "postal_code": "783772425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SWIFT ST",
            "city": "REFUGIO",
            "state": "TX",
            "postal_code": "783772425",
            "telephone_number": "361-526-2321",
            "fax_number": "361-526-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "WASICEK",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-526-2321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084616401",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmac@rcmh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Refugio County Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "107 Swift St",
            "city": "Refugio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783772425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pscherrer@rcmh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Refugio County Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "107 Swift St",
            "city": "Refugio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783772425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwineman@rcmh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Refugio County Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "107 Swift St",
            "city": "Refugio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783772425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Refugio, TX

Sources for this page

Verify at the official NPI Registry.