Ascension Seton

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ASCENSION SETON

Doing business as

Ascension Seton Lockhart Family Health Center at Church

Practice address

209 S Church St Ste B
Lockhart, TX 78644-2756

Phone

(512) 376-2999

Fax

(512) 376-5562

NPI assigned

Sep 8, 2017

Last updated

Nov 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Herndon

Title

Cfo

Phone

(512) 324-5895

Specialties & licenses 1

Addresses

Other names 1

• Ascension Seton Lockhart Family Health Center at Church Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912425000. Details of each certification follow.

• CCN 673462 Rural health clinic · Active · Details

Rural health clinic certification: CCN 673462

Legal name

ASCENSION SETON

Doing business as

ASCENSION SETON LOCKHART HEALTH CENTER CHURCH

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Nov 30, 2017

Last certification

May 26, 2021

Ownership / control type

2B

Organization structure

CorporationNon-profit

Incorporated

Apr 4, 1900 in TX

Enrollment address

209 S Church St
Ste a&B
Lockhart, TX 78644-2713

Related CCNs

451371

Related certifications (CCN) 2

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

• Ascension Seton

  dba Ascension Seton Edgar B Davis

  • Critical Access Hospital
  • Luling, TX
  • NPI 1356446686

  Parent provider

  Provider of Services
• Ascension Seton

  dba Ascension Seton Edgar B Davis

  • Medicare Defined Swing Bed Hospital Unit
  • Luling, TX
  • NPI 1962507202

  Parent provider

  Provider of Services

Tax ID family

Seton Healthcare Network56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Ascension Seton

  dba Ascension Seton Lampasas Health Center

  • Rural Health Clinic/Center
  • Lampasas, TX
  • NPI 1699947408
  NPD tax ID
• Ascension Seton

  dba Ascension Seton Southwest

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1750499273
  NPD tax ID
• Ascension Seton

  dba Ascension Seton Cardiac Rehabilitation Services

  • Cardiac Rehabilitation Clinic/Center
  • Austin, TX
  • NPI 1811807282
  NPD tax ID
• Ascension Seton

  dba Ascension Seton Heart Specialty Care and Transplant Center

  • Cardiac Rehabilitation Clinic/Center
  • Austin, TX
  • NPI 1851201222
  NPD tax ID
• Ascension Seton

  dba Ascension Seton Hays

  • Pharmacy
  • Kyle, TX
  • NPI 1851974430
  NPD tax ID
• Ascension Seton

  dba Ascension Seton Bertram Health Center

  • Rural Health Clinic/Center
  • Bertram, TX
  • NPI 1871512228
  NPD tax ID
• Ascension Seton

  dba Ascension Seton Williamson

  • Pharmacy
  • Round Rock, TX
  • NPI 1932773884
  NPD tax ID
• Ascension Seton

  dba Ascension Seton Burnet Health Center

  • Rural Health Clinic/Center
  • Burnet, TX
  • NPI 1952328924
  NPD tax ID
• Ascension Seton

  dba Ascension Seton Bastrop Cardiac and Pulmonary Rehabilitation Services a Department of Ascension Seto

  • General Acute Care Hospital
  • Bastrop, TX
  • NPI 1992625404
  NPD tax ID
• Daughters of Charity HLTH SRVS of Austin

  dba Not Just for Pediatrics Pharmacy

  • Compounding Pharmacy
  • Austin, TX
  • NPI 1760566897
  NPD tax ID
• Seton Family of Hospitals

  • Pharmacy
  • Round Rock, TX
  • NPI 1801074190
  NPD tax ID
• Seton Family of Hospitals

  dba Dell Seton Medical Center at the University of Texas

  • Pharmacy
  • Austin, TX
  • NPI 1801950670
  NPD tax ID

Locations

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 3

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

• Dave F Clarke, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Austin, TX
  • NPI 1871550772

  Corporate Director

  CMS ownership
• Jeffrey T Manning, M.D.

  • Anesthesiology Physician
  • Waco, TX
  • NPI 1235228784

  Corporate Director

  CMS ownership
• Arjun Mohandas, M.D.

  • Internal Medicine Physician
  • Lockhart, TX
  • NPI 1639123573

  Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 32

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

Facilities with the same owner 162

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

• Ascension Providence

  • General Acute Care Hospital
  • Waco, TX
  • NPI 1093708679

  Ascension Health, Ascension Texas

  CMS ownership
• Ascension Providence

  dba Ascension Providence Salome Inpatient Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Waco, TX
  • NPI 1497559140

  Ascension Health, Ascension Texas

  CMS ownership
• Ascension Seton

  dba Ascension Seton Highland Lakes

  • Critical Access Hospital
  • Burnet, TX
  • NPI 1003833013

  Ascension Health, Ascension Seton, Ascension Texas

  CMS ownership
• Ascension Seton

  dba Dell Seton Medical Center at the University of Texas

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1093810327

  Ascension Health, Ascension Seton, Ascension Texas

  CMS ownership
• Ascension Seton

  dba Ascension Seton Northwest

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1124137054

  Ascension Health, Ascension Seton, Ascension Texas

  CMS ownership
• Ascension Seton

  dba Childrens Care A Van

  • Rural Health Clinic/Center
  • Lockhart, TX
  • NPI 1144325481

  Ascension Health, Ascension Seton, Ascension Texas

  CMS ownership
• Ascension Seton

  dba Children's Care-a-Van

  • Rural Health Clinic/Center
  • Burnet, TX
  • NPI 1164445094

  Ascension Health, Ascension Seton, Ascension Texas

  CMS ownership
• Ascension Seton

  dba Ascension Seton Medical Center Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1164526786

  Ascension Health, Ascension Seton

  CMS ownership
• Ascension Seton

  dba Ascension Seton Kingsland Health Center

  • Rural Health Clinic/Center
  • Kingsland, TX
  • NPI 1205263134

  Ascension Health, Ascension Seton, Ascension Texas

  CMS ownership
• Ascension Seton

  dba Ascension Seton Lockhart Health Center

  • Rural Health Clinic/Center
  • Lockhart, TX
  • NPI 1235234576

  Ascension Health, Ascension Seton, Ascension Texas

  CMS ownership
• Ascension Seton

  dba Ascension Seton Highland Lakes -Swing

  • Medicare Defined Swing Bed Hospital Unit
  • Burnet, TX
  • NPI 1346263274

  Ascension Health, Ascension Seton, Ascension Texas

  CMS ownership
• Ascension Seton

  dba Ascension Seton Dripping Springs Health Center

  • Rural Health Clinic/Center
  • Dripping Springs, TX
  • NPI 1346862752

  Ascension Health, Ascension Seton, Ascension Texas

  CMS ownership

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1912425000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S CHURCH ST STE B",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442756",
            "telephone_number": "512-376-2999",
            "fax_number": "512-376-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S CHURCH ST STE B",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442756",
            "telephone_number": "512-376-2999",
            "fax_number": "512-376-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION SETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-324-5895"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Seton Lockhart Family Health Center at Church",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherilyn Ann Adcock
• Keeley Sarie Armes
• Ascension Seton (Childrens Care A Van)
• Ascension Seton (Ascension Seton Lockhart Health Center)
• Ascension Seton (Ascension Seton Lockhart Family Health Center at South Commerce)
• Austin Neurosurgical and Spine Institute, PA
• Rachel Eloise Bardshar, MS, CCC-SLP
• Kristy Anne Batey, GNP-C, ANP-C
• Kristi Baumbach
• Sarah Bahar Behmanesh, DDS

• Rural Health Clinic/Center in Lockhart, TX
• Providers in Lockhart, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.