NPIMap

Organization Active NPI

South Limestone Hospital District

Doing business as Limestone Medical Center

  • Critical Access Hospital
  • Groesbeck, TX
National Provider Identifier
1861487779
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
000052 Issued in TX
Legal business name
SOUTH LIMESTONE HOSPITAL DISTRICT
Doing business as
Limestone Medical Center
Practice address
701 McClintic Dr
Groesbeck, TX 76642-2128
Phone
(254) 729-3281
Fax
(254) 729-3080
NPI assigned
Sep 16, 2005
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Mr. Larry N Price
Title
Administrator
Phone
(254) 729-3281

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 000052 TX
Critical Access Hospital Clinic/Center 261QC0050X
Medicare Defined Swing Bed Hospital Unit 275N00000X
Critical Access Hospital 282NC0060X 000052 TX Primary
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 names 1

  • Limestone Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1861487779. Details of each certification follow.

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
OtherNon-profit
Enrollment address
701 McClintic Dr
Groesbeck, TX 76642-2128
Main/Primary Hospital Location

Hospital certification: CCN 45Z303

Legal name
SOUTH LIMESTONE HOSPITAL DISTRICT
Doing business as
LIMESTONE MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
701 McClintic Dr
Groesbeck, TX 76642-2128
Hospital Swing-Bed Unit

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Limestone Medical CenterCCN 451303 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

801 McClintic Dr
Groesbeck, TX 76642
Phone (254) 729-3411

204 W Trinity St
#A
Lake Limestone, TX 76642
Phone (254) 729-3740

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Larry N Price Individual Corporate DirectorHief Executive Officer May 1, 2005
W-2 Managing EmployeeCheif Executive Officer May 1, 2005
Corporate DirectorCeo May 1, 2005
Arnold Gray Individual Corporate DirectorBoard Member May 16, 2018
Herbert D Hewitt Individual Corporate DirectorPresident of Board of Directors May 26, 2009
Jack Milstead Individual Corporate DirectorDirector Jan 22, 2019
Kent Wilson Individual Corporate DirectorDirector Jan 25, 2022
Corporate Director Jan 25, 2022
Jennifer E. Mackey Individual Corporate DirectorDirector May 26, 2020
Debbie Brewer Individual W-2 Managing EmployeeBusiness Office Manager Mar 11, 2010
Cheryl Hardin Individual W-2 Managing EmployeeMedical Records Director Mar 11, 2010
Cathy Knouse Individual W-2 Managing EmployeeAdministrative Assistant Jun 25, 2013
W-2 Managing Employee Jun 25, 2013
South Limestone Hospital District Organization, Groesbeck, TX Operational/Managerial Control Aug 5, 1996 14%
Operational/Managerial Control Aug 5, 1996
Martha L Stanton Individual Corporate DirectorBoard Member Jun 25, 2013
Corporate DirectorBoard Member Jun 25, 2013 14%
Glenda R O'Neal Individual Corporate DirectorDirector Jul 24, 2012
Corporate DirectorBoard Member Jul 24, 2012

All facility ownership & control disclosures 29

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

FacilityTypeRoleSince
Accel at Willow BendPlano, TX, CCN 676349 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Garnet Hill Rehabilitation and Skilled CareWylie, TX, CCN 676192 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Settlers Ridge Care CenterCelina, TX, CCN 675969 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
The Villages on MacarthurIrving, TX, CCN 676358 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Baybrooke Village Care and Rehab CenterMcKinney, TX, CCN 676096 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Woodland Springs Nursing CenterWaco, TX, CCN 675360 Skilled nursing facility Operational/Managerial Control (50%) Jan 23, 2015
Georgetown Nursing and Transitional CareGeorgetown, TX, CCN 676280 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2017
Sep 30, 2025
Creekside Terrace RehabilitationBelton, TX, CCN 455497 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
San Gabriel Rehabilitation and Care CenterRound Rock, TX, CCN 676308 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Groesbeck LTC Nursing and RehabilitationGroesbeck, TX, CCN 676071 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Teague Nursing and RehabilitationTeague, TX, CCN 675884 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Mexia LTC Nursing and RehabilitationMexia, TX, CCN 675903 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2018
Apr 23, 2025
Falcon Ridge RehabilitationHutto, TX, CCN 676382 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2019
Briarcliff Health CenterTyler, TX, CCN 675142 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2019
Chandler Health CareChandler, TX, CCN 455910 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2019
Providence Park Rehabilitation and Skilled NursingTyler, TX, CCN 676184 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2020
Avir at BeltonBelton, TX, CCN 675948 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2021
Van HealthcareVan, TX, CCN 455856 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Panola County Nursing & RehabilitationCarthage, TX, CCN 675387 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 15, 2024
Crimson Heights Health & WellnessHumble, TX, CCN 676463 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Terra Bella Health and Wellness SuitesHouston, TX, CCN 676450 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
St. Joseph's Care CenterMcGregor, TX, CCN 745059 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024
The Chateau WacoWaco, TX, CCN 676409 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025
Avir at CorsicanaCorsicana, TX, CCN 676295 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025
St. Anthony's Care CenterWaco, TX, CCN 676462 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
West Rest HavenWest, TX, CCN 676386 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
Rettig Family Health Care a Limestone Medical Center ClinicGroesbeck, TX, CCN 673480 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2015
Kosse Community Health Clinic a Limestone Medical Center ClinicKosse, TX, CCN 673482 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2015
Family Medicine CenterGroesbeck, TX, CCN 453984 Rural health clinic Operational/Managerial Control Mar 28, 2022

Facilities with the same owner 29

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

View all 29

Practitioners & affiliated clinicians

Practitioners 28

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 28

Affiliated clinicians 129

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

View all 129

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1861487779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MCCLINTIC DR",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766422128",
            "telephone_number": "254-729-3281",
            "fax_number": "254-729-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MCCLINTIC DR",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766422128",
            "telephone_number": "254-729-3281",
            "fax_number": "254-729-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Mart",
            "state": "TX",
            "postal_code": "766641142",
            "country_code": "US",
            "telephone_number": "254-876-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH LIMESTONE HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-729-3281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "000052",
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "000052",
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TX",
            "license": "000052",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limestone Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Limestone Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groesbeck, TX

Sources for this page

Verify at the official NPI Registry.