South Limestone Hospital District
Organization Active NPI Critical Access Hospital · Groesbeck, TX
NPI 1861487779 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1861487779
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 000052 (TX)
- Legal business name
- SOUTH LIMESTONE HOSPITAL DISTRICT
- Practice address
- 701 McClintic Dr
Groesbeck, TX 76642-2128 - Phone
- (254) 729-3281
- Fax
- (254) 729-3080
- NPI assigned
- Sep 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Larry N Price
- Title
- Administrator
- Phone
- (254) 729-3281
Other NPIs on the same Medicare enrollment 1
Related certifications (CCN) 3
Facilities with the same owner 29
Practitioners 28
-
Courtney Chiglo, FNP
-
Morgan Coffey, FNP
-
Heather Nicole Flippin, NP-C
-
Aval NA Ree Sian Green, M.D.
-
Erin Holland, APRN
-
Sammy B Johnson, CRNA
-
Gordon Kenneth Lee, P.A.
-
Kenneth G. Lomenzo, M.D.
-
Sean D McCarthy, MD
-
Cody Robert McMahan, M.D.
-
Jeffrey D Rettig, D.O.
-
Wanda Kay Roark, RN, FNP-BC
-
Shana Joan Stanley, FNP-C
-
Angela Rhae Trotter, FNP-C
-
Mary Katherine Walker, LCSW
-
Savannah Wetzler, PA
-
Joshua J. Warren, M.D.
-
Cory Herzog, DNP,CRNA
-
Cyril C Onyemaechi, FNP- C
Affiliated clinicians 129
-
Taurus Allen, M.D.
-
Hanumantha Rao Ancha, M.D.
-
Neha Bandeali, FNP-C, FNP-BC
-
Brian Cody Barnett, M.D.
-
Nikhil Bhargava, MD
-
Dileep C Bhateley, M.D.
-
Luke Biarnesen, AGACNP-BC
-
John C Biboa, DO
-
Jeffrey S Blasick, D.O.
-
Alyson Brzezinski, FNP-C
-
Carl G Chakmakjian, D.O.
-
Sara Chiglo, FNP-C
-
James Allen Clark, M.D.
-
Morgan Coffey, FNP
-
William P. Coleman, M.D.
-
Nicole C. Collatos, RN,FNP-C
-
Jordan Fayth Cooke, PA-C
Medicare Care Compare: Hospital
- Listed as
- Limestone Medical Center
- Type
- Critical Access Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX
Hospital certification: CCN 451303
- Legal name
- SOUTH LIMESTONE HOSPITAL DISTRICT
- Doing business as
- LIMESTONE MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jan 11, 2000
- Last certification
- Jul 27, 2022
- Beds
- 20
- Ownership / control type
- Hospital district or authority
- Organization structure
- Other · Non-profit
- Enrollment address
- 701 McClintic Dr
Groesbeck, TX 76642-2128
Hospital certification: CCN 45Z303
- Legal name
- SOUTH LIMESTONE HOSPITAL DISTRICT
- Doing business as
- LIMESTONE MEDICAL CENTER
- Organization structure
- Other · Non-profit
- Enrollment address
- 701 McClintic Dr
Groesbeck, TX 76642-2128
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Larry N Price |
Corporate Director |
May 1, 2005 | |
| W-2 Managing Employee |
May 1, 2005 | ||
| Corporate Director |
May 1, 2005 | ||
| Arnold Gray |
Corporate Director |
May 16, 2018 | |
| Herbert D Hewitt |
Corporate Director |
May 26, 2009 | |
| Jack Milstead |
Corporate Director |
Jan 22, 2019 | |
| Kent Wilson |
Corporate Director |
Jan 25, 2022 | |
| Corporate Director | Jan 25, 2022 | ||
| Jennifer E. Mackey |
Corporate Director |
May 26, 2020 | |
| Debbie Brewer |
W-2 Managing Employee |
Mar 11, 2010 | |
| Cheryl Hardin |
W-2 Managing Employee |
Mar 11, 2010 | |
| Cathy Knouse |
W-2 Managing Employee |
Jun 25, 2013 | |
| W-2 Managing Employee | Jun 25, 2013 | ||
| South Limestone Hospital District |
Operational/Managerial Control | Aug 5, 1996 | 14% |
| Operational/Managerial Control | Aug 5, 1996 | ||
| Martha L Stanton |
Corporate Director |
Jun 25, 2013 | |
| Corporate Director |
Jun 25, 2013 | 14% | |
| Glenda R O'Neal |
Corporate Director |
Jul 24, 2012 | |
| Corporate Director |
Jul 24, 2012 |
All facility ownership & control disclosures 29
| Facility | Type | Role | Since |
|---|---|---|---|
| Accel at Willow Bend |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| Garnet Hill Rehabilitation and Skilled Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| Settlers Ridge Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| The Villages on Macarthur |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| Baybrooke Village Care and Rehab Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| Woodland Springs Nursing Center |
Skilled nursing facility | Operational/Managerial Control (50%) | Jan 23, 2015 |
| Georgetown Nursing and Transitional Care |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 1, 2017 Sep 30, 2025 |
| Creekside Terrace Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| San Gabriel Rehabilitation and Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Groesbeck LTC Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Teague Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Mexia LTC Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Apr 1, 2018 Apr 23, 2025 |
| Falcon Ridge Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2019 |
| Briarcliff Health Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2019 |
| Chandler Health Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2019 |
| Providence Park Rehabilitation and Skilled Nursing |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2020 |
| Avir at Belton |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2021 |
| Van Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Panola County Nursing & Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 15, 2024 |
| Crimson Heights Health & Wellness |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Terra Bella Health and Wellness Suites |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| St. Joseph'S Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2024 |
| The Chateau Waco |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2025 |
| Avir at Corsicana |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2025 |
| St. Anthony'S Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2025 |
| West Rest Haven |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2025 |
| Rettig Family Health Care a Limestone Medical Center Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2015 |
| Kosse Community Health Clinic a Limestone Medical Center Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2015 |
| Family Medicine Center |
Rural health clinic | Operational/Managerial Control | Mar 28, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040414000629 | TX | Part B Supplier - Clinic/Group Practice | 9032103700 |
Receives reassigned benefits from 21 practitioners 1 other NPI on this enrollment Practice locations: Groesbeck, TX; Mart, TX; Kosse, TX |
| O20100316000865 | TX | Part a Provider - Critical Access Hospital | 9032103700 | Practice locations: Groesbeck, TX |
| O20100316000880 | TX | Part a Provider - Critical Access Hospital | 9032103700 | Practice locations: Groesbeck, TX |
National Provider Directory
Locations
204 W Trinity St
Groesbeck, TX 76642
Phone (254) 729-3740
801 McClintic Dr
Groesbeck, TX 76642
Phone (254) 729-3411
204 W Trinity St
#A
Lake Limestone, TX 76642
Phone (254) 729-3740
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | 000052 | TX | |
| Critical Access Hospital Clinic/Center | 261QC0050X | |||
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| Critical Access Hospital | 282NC0060X | 000052 | TX | Yes |
| Rural Acute Care Hospital | 282NR1301X | 000052 | TX | |
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
701 McClintic Dr
Groesbeck, TX 76642-2128
Mailing address
701 McClintic Dr
Groesbeck, TX 76642-2128
Phone (254) 729-3281
Other practice location 1
200 N Pearl St
Mart, TX 76664-1142
Phone (254) 876-9020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121809103 | Medicaid | TX | |
| 121728302 | Medicaid | TX | |
| 140714001 | Medicaid | TX | |
| 119873102 | Medicaid | TX | |
| HH0676 | Other | TX | BLUE CROSS HOSPITAL |
| 00JS34 | Other | TX | BLUE CROSS PRO FEES |
| 121809101 | Medicaid | TX | |
| 121809105 | Medicaid | TX |
Other names
- Limestone Medical Center
Other providers in Groesbeck, TX
- Amy Oakes Silar
- Dori Kay Sims
- South Limestone Hospital District
- South Limestone Hospital District
- South Limestone Hospital District
- South Limestone Hospital District Dba Limestone Medical Center/Family
- Kimberly Stevens
- Jason Wayne Trojacek
- Angela Rhae Trotter
- Tru Dental
All providers in Groesbeck, TX · Critical Access 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 Dec 16, 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.