Victoria of Texas LP
Organization Active NPI General Acute Care Hospital · Victoria, TX
NPI 1851343909 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1851343909
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 000453 (TX)
- Legal business name
- VICTORIA OF TEXAS LP
- Practice address
- 506 E San Antonio St
Victoria, TX 77901-6060 - Phone
- (361) 575-7441
- Fax
- (361) 788-2693
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Paula Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 3
Related certifications (CCN) 1
Facilities with the same owner 120
Practitioners 31
-
Eva Dolores Carrizales, D.O.
-
William Jacob Cobb, M.D.
-
Braden Coleman, MD
-
Daniel D Dugi Jr., M.D.
-
Dante H Garza, MD
-
Dana Marie Gonzalez, M.D.
-
Girish M. Gowda, M.D.
-
Adrian Gresores, MD
-
Daniel Handayan, MD
-
Robert L Hicks, M.D.
-
Jonathan Klarich, MD
-
Angela Marie Klawitter, M.D.
-
William John McFarland, M.D.
-
My Hanh Nguyen, MD
-
Tanya E Seiler, M.D.
-
Ryan Gabriel Stokes, M.D
-
Maria C Torres, M.D.
Affiliated clinicians 227
-
Robin E Adams, M.D.
-
Arnel Robert Alcasabas, O.D.
-
Sara Ashraf, M.D.
-
Kelly C Banonis, NP
-
Pamella Michelle Barrett, NP-C
-
Jeremiah E Bast, FNP-C
-
Bruce Bauknight, MD
-
Sanjeev Bhatia, M.D.
-
Lisa Diane Blacketter, CRNA
-
Jennifer Foxell Bluntzer, DNP, APRN, ACAGNP-BC
-
Adam Bonder, M.D.
-
Gary S Branfman, MD
-
Donald W. Breech, M.D.
-
Austin Caballero, DO
-
Eliezer Castaneda, M.D.
-
Michael Caughron, FNP-C
Medicare Care Compare: Hospital
- Listed as
- De Tar Hospital Navarro
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
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
- Partnership · Proprietary
- Incorporated
- Sep 25, 1998 in DE
- Enrollment address
- 506 E San Antonio St
Victoria, TX 77901-6060 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin J Hammons |
Corporate Officer |
Feb 27, 2012 | |
| Corporate Director |
Jan 1, 2020 | ||
| Bernard Leger |
W-2 Managing Employee |
Apr 1, 2020 | |
| VHC Medical, LLC |
5% Or Greater Indirect Ownership Interest | Apr 12, 2005 | 100% |
| Nathaniel K Summar |
Corporate Director |
Jul 14, 2017 | |
| Justin D Pitt |
Corporate Officer |
Mar 1, 2022 | |
| Corporate Director |
Mar 1, 2022 | ||
| William Bradley Cash |
Corporate Officer |
Jun 11, 2018 | |
| Hma-Tri Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Community Health Systems Inc |
5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
| Triad Holdings III LLC |
5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
| Jason Kevin Johnson |
Corporate Officer |
Jan 6, 2020 | |
| Roman Gabriel Ottinger |
Corporate Officer |
Jan 6, 2020 | |
| Triad Holdings IV LLC |
5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
| Victoria Hospital, LLC |
5% Or Greater Direct Ownership Interest | Apr 12, 2005 | 99% |
| Paula M Lalor |
Corporate Director |
Apr 1, 2017 | |
| Triad Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Tennyson Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
| Edna S Buffington-Price |
Corporate Director |
Mar 1, 2022 | |
| Christopher G Cobb |
Corporate Officer |
Apr 26, 2013 | |
| CHS Community Health Systems Inc |
5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060320000191 | TX | Part a Provider - Hospital | 3870576093 | Practice locations: Victoria, TX |
National Provider Directory
- Tax ID family
- Robert Simpkins MD
Locations
2637 Shadelands Dr
Ste E
Walnut Creek, CA 94598
Phone (925) 393-0033
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Critical Access Hospital Clinic/Center | 261QC0050X | |||
| General Acute Care Hospital | 282N00000X | 000453 | TX | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0941189-02 | Medicaid | TX | |
| 0941189-01 | Medicaid | TX |
Other names
- Detar Healthcare System
Other providers in Victoria, TX
- Victoria of Texas LP
- Victoria of Texas LP
- Victoria of Texas LP
- Victoria of Texas LP
- Victoria of Texas LP
- Victoria of Texas LP
- Victoria Oral & Maxillofacial Surgery Associates Inc,
- Victoria Orthodontic Associates
- Victoria Orthopedic & Sports Medicine Clinic
- Victoria Orthopedic & Sports Medicine Clinic
All providers in Victoria, TX · General Acute Care Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.