NPIMap

Organization Active NPI

Marfa Country Clinic, P.a.

  • Rural Health Clinic/Center
  • Marfa, TX
National Provider Identifier
1831993088
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARFA COUNTRY CLINIC, P.A.
Practice address
105 E Oak Street
Marfa, TX 79843
Phone
(432) 729-3000
Fax
(432) 729-3001
NPI assigned
Apr 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Valerie Breuvart
Title
Administrator
Phone
(432) 729-3000

Specialties & licenses 1

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

Addresses

Primary practice location

105 E Oak Street
Marfa, TX 79843

Mailing address

PO Box 368
Marfa, TX 79843-0368
Phone (432) 729-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319003244 TX Part A Provider - Rural Health Clinic 2567590953 Practice locations: Marfa, TX

Rural health clinic certification: CCN 678946

Legal name
MARFA COUNTRY CLINIC, P.A.
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 29, 2025
Last certification
Aug 29, 2025
Ownership / control type
1B
Organization structure
CorporationProprietary
Enrollment address
105 East Oak Street
Marfa, TX 79843-0368

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Marvin C Culbertson Individual 5% Or Greater Direct Ownership Interest May 1, 2010 51%
Donald G Culbertson Individual 5% Or Greater Direct Ownership Interest May 1, 2010 49%
Corporate Officer May 1, 2010
Operational/Managerial Control May 1, 2010

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1831993088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "MARFA",
            "state": "TX",
            "postal_code": "798430368",
            "telephone_number": "432-729-3000",
            "fax_number": "432-729-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E OAK STREET",
            "city": "MARFA",
            "state": "TX",
            "postal_code": "79843",
            "telephone_number": "432-729-3000",
            "fax_number": "432-729-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARFA COUNTRY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "BREUVART",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "432-729-3000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marfa, TX

Sources for this page

Verify at the official NPI Registry.