Ran Bolen
Individual provider Active NPI General Acute Care Hospital · Flint, TX
NPI 1891291845 · NPPES record last updated Mar 30, 2018
Key facts
- NPI
- 1891291845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- AP136199 (TX)
- Practice address
- 20894 Virginia Rd
Flint, TX 75762-5418 - Phone
- (903) 571-2135
- NPI assigned
- Mar 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Medicine Associates of TX PA
Practice addresses (Care Compare)
2900 S Loop
Suite 256
Palestine, TX 75801-6958
Phone (903) 731-1000
Hospital & facility affiliations
- Palestine Regional Medical Center
- Crockett Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180709000551 | TX | Practitioner - Nurse Practitioner | 8729334636 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP136199 | TX | MD | Rural Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Associates of TX PA | Current |
Accepting new patients |
Locations
2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021
16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | AP136199 | TX | |
| General Acute Care Hospital | 282N00000X | AP136199 | TX | Yes |
Addresses
Primary practice location
20894 Virginia Rd
Flint, TX 75762-5418
Mailing address
900 TX-256 South Loop
Palestine, TX 75801
Phone (903) 731-1000
Other providers in Flint, TX
- Stephanie N Arthurs
- Heather Bell
- Rachel Bell
- Jamie Bishop
- Ryan Bockover
- Zane Boles
- Nancy M. Boone
- Eric William Brabon
- Brookshire Grocery Company
- Roger Andrew Burshe
All providers in Flint, 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 Mar 30, 2018. 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.
- Order and Referring (CMS).
- 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.