NPIMap

Organization Active NPI

Val Verde Hospital Corporation

Doing business as Val Verde Regional Medical Center Rural Health Clinic

  • Rural Health Clinic/Center
  • Del Rio, TX
National Provider Identifier
1891124640
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VAL VERDE HOSPITAL CORPORATION
Doing business as
Val Verde Regional Medical Center Rural Health Clinic
Practice address
1801 N Bedell Ave
Del Rio, TX 78840-8001
Phone
(830) 768-9229
Fax
(830) 768-9290
NPI assigned
Nov 2, 2013
Last updated
Jul 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Authorized official

Name
Jorge Jurado
Title
Clinic Administrator
Phone
(830) 775-8566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

1801 N Bedell Ave
Del Rio, TX 78840-8001

Mailing address

801 N Bedell Ave
Del Rio, TX 78840-4112
Phone (830) 775-8566

Other practice location 1

1200 N Bedell Ave
Del Rio, TX 78840-4491
Phone (830) 768-9207

Other practice location 2

801 N Bedell Ave
Del Rio, TX 78840-4112
Phone (830) 768-9207

Other names 1

  • Val Verde Regional Medical Center Rural Health Clinic Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041006001392 TX Part B Supplier - Clinic/Group Practice 0941112023 Receives reassigned benefits from 109 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Del Rio, TX
O20140806001837 TX Part A Provider - Rural Health Clinic 0941112023 Practice locations: Del Rio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891124640. Details of each certification follow.

Rural health clinic certification: CCN 673431

Legal name
VAL VERDE HOSPITAL CORPORATION
Doing business as
VAL VERDE REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 9, 2015
Last certification
Aug 29, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 12, 2000 in TX
Enrollment address
1801 N Bedell Avenue
Val Verde Regional Medical Center
Del Rio, TX 78840-8001
Related CCNs
450154

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

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

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
45D0927716Val Verde Regional Medical Center1801 N Bedell, Del Rio, TX 78840Provider-performed microscopyJan 15, 2028

National Provider Directory

National Provider Directory

Locations

1801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 768-9200

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
Val Verde Hospital Corporation Organization, Del Rio, TX Non-profit 5% Or Greater Direct Ownership Interest Jun 6, 2014 100%
Operational/Managerial Control Jun 1, 2014 100%
Marina Reyes Individual W-2 Managing Employee May 1, 2020
Claudia Falcon Individual Corporate OfficerCfo Jan 1, 2018
Jane E Morain Individual Corporate OfficerBoard Member Jun 1, 2012 5%
Operational/Managerial ControlBoard Member Jun 1, 2014 5%

Owners & managing parties with NPI records 3

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
Terry M. Lindsey Rural Health ClinicDel Rio, TX, CCN 678578 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2024

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 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1891124640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404112",
            "telephone_number": "830-775-8566",
            "fax_number": "830-775-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408001",
            "telephone_number": "830-768-9229",
            "fax_number": "830-768-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Bedell Ave",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788404491",
            "country_code": "US",
            "telephone_number": "830-768-9207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N Bedell Ave",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788404112",
            "country_code": "US",
            "telephone_number": "830-768-9207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VAL VERDE HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "JURADO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "830-775-8566"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Val Verde Regional Medical Center Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.