NPIMap

Organization Active NPI

Reagan Hospital District

Doing business as Reagan Memorial Hospital

  • Critical Access Hospital
  • Big Lake, TX
National Provider Identifier
1881697316
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
000343 Issued in TX
Legal business name
REAGAN HOSPITAL DISTRICT
Doing business as
Reagan Memorial Hospital
Practice address
1300 N Main Ave
Big Lake, TX 76932
Phone
(325) 884-2561
Fax
(325) 884-2891
NPI assigned
May 30, 2005
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Jonathon Voelkel
Title
Ceo
Phone
(325) 884-5610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 000343 TX Primary

Addresses

Primary practice location

1300 N Main Ave
Big Lake, TX 76932

Mailing address

1300 N Main Ave
Big Lake, TX 76932-3202
Phone (325) 884-2561

Other identifiers 2

IdentifierTypeStateIssuer
121806703MedicaidTX
HH0499OtherTXBLUE CROSS

Other names 1

  • REAGAN MEMORIAL HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100902000151 TX Part A Provider - Critical Access Hospital 3678606399 Receives reassigned benefits from 1 practitioner
Practice locations: Big Lake, TX
O20100902000759 TX Part A Provider - Critical Access Hospital 3678606399 Practice locations: Big Lake, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1881697316. Details of each certification follow.

Hospital certification: CCN 451301

Legal name
REAGAN HOSPITAL DISTRICT
Doing business as
REAGAN MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2000
Last certification
Jun 29, 2022
Beds
14
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
1300 N Main Avenue
Big Lake, TX 76932-3938

Hospital certification: CCN 45Z301

Legal name
REAGAN HOSPITAL DISTRICT
Doing business as
REAGAN MEMORIAL HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
1300 N Main Avenue
Big Lake, TX 76932-3938

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Reagan Memorial HospitalCCN 451301 · 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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0671159Reagan Memorial Hospital-Laboratory1300 N Main Ave, Big Lake, TX 76932AccreditationJun 12, 2028
45D0999643Reagan Memorial Hospital / Nursing1300 N Main, Big Lake, TX 76932Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Reagan Hospital District5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Heath John Holt Individual Corporate DirectorBoard Chairman Dec 27, 2022
Reagan Hospital District Organization, Big Lake, TX Operational/Managerial Control Jan 1, 1966 100%
Jonathon Voelkel Individual Corporate OfficerCeo Oct 15, 2018
Corporate DirectorCeo Oct 15, 2018
W-2 Managing EmployeeCeo Oct 15, 2018
Corporate OfficerCeo Aug 1, 2019
W-2 Managing EmployeeCeo Aug 1, 2019
Elizabeth R Thomas Individual Contracted Managing EmployeeCfo Dec 27, 2022
Corporate OfficerCfo Dec 27, 2022

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Hickman Rural Health ClinicBig Lake, TX, CCN 673438 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 9

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

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1881697316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN AVE",
            "city": "BIG LAKE",
            "state": "TX",
            "postal_code": "769323202",
            "telephone_number": "325-884-2561",
            "fax_number": "325-884-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MAIN AVE",
            "city": "BIG LAKE",
            "state": "TX",
            "postal_code": "76932",
            "telephone_number": "325-884-2561",
            "fax_number": "325-884-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAGAN HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-30",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "VOELKEL",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-884-5610"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "000343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121806703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH0499",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REAGAN MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REAGAN MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Lake, TX

Sources for this page

Verify at the official NPI Registry.