Organization Active NPI

Victoria of Texas LP

Doing business as Detar Healthcare System

  • General Acute Care Hospital
  • Victoria, TX
National Provider Identifier
1851343909
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000453 Issued in TX
Legal business name
VICTORIA OF TEXAS LP
Doing business as
Detar Healthcare System
Practice address
506 E San Antonio St
Victoria, TX 77901-6060
Phone
(361) 575-7441
Fax
(361) 788-2693
NPI assigned
May 17, 2006
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Paula Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
Critical Access Hospital Clinic/Center 261QC0050X
General Acute Care Hospital 282N00000X 000453 TX Primary

Addresses

Primary practice location

506 E San Antonio St
Victoria, TX 77901-6060

Mailing address

PO Box 2089
Victoria, TX 77902-2089
Phone (361) 575-7441

Other names 1

  • Detar Healthcare System Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060320000191 TX Part A Provider - Hospital 3870576093 Practice locations: Victoria, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851343909. Details of each certification follow.

Hospital certification: CCN 450147

Legal name
VICTORIA OF TEXAS LP
Doing business as
DETAR HEALTHCARE SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1972
Last certification
Feb 11, 2023
Beds
278
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 1998 (2 total)
Organization structure
PartnershipProprietary
Incorporated
Sep 25, 1998 in DE
Enrollment address
506 E San Antonio St
Victoria, TX 77901-6060
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
De Tar Hospital NavarroCCN 450147 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Robert Simpkins MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Feb 27, 2012
Corporate DirectorPresident/Board Member Jan 1, 2020
Bernard Leger Individual W-2 Managing EmployeeCeo Apr 1, 2020
VHC Medical, LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Apr 12, 2005 100%
Nathaniel K Summar Individual Corporate DirectorVP Revenue Managment Jul 14, 2017
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
William Bradley Cash Individual Corporate OfficerExec VP Jun 11, 2018
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Triad Holdings III LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Triad Holdings IV LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Victoria Hospital, LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Apr 12, 2005 99%
Paula M Lalor Individual Corporate DirectorDirector PFS Apr 1, 2017
Triad Healthcare LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Tennyson Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 26, 2013
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2007 100%

Facilities with the same owner 120

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

View all 120

Practitioners & affiliated clinicians

Practitioners 31

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 31

Affiliated clinicians 227

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

View all 227

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1851343909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779022089",
            "telephone_number": "361-575-7441",
            "fax_number": "361-788-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E SAN ANTONIO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016060",
            "telephone_number": "361-575-7441",
            "fax_number": "361-788-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA OF TEXAS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detar Healthcare System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.