Organization Active NPI

Hopkins County Hospital District

  • Skilled Nursing Facility
  • Tyler, TX
National Provider Identifier
1922044106
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HOPKINS COUNTY HOSPITAL DISTRICT
Practice address
900 S Baxter Ave
Tyler, TX 75701-2209
Phone
(903) 597-8192
Fax
(903) 597-8213
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Elaine Rutherford
Title
Ceo/Cfo
Phone
(903) 438-4566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

900 S Baxter Ave
Tyler, TX 75701-2209

Mailing address

900 S Baxter Ave
Tyler, TX 75701-2209
Phone (903) 597-8192

Other identifiers 1

IdentifierTypeStateIssuer
001025945MedicaidTX

Other names 2

  • Petal Hill Nursing and Rehabilitation Center Doing business as
  • The Clairmont Tyler Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1922044106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S BAXTER AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012209",
            "telephone_number": "903-597-8192",
            "fax_number": "903-597-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S BAXTER AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012209",
            "telephone_number": "903-597-8192",
            "fax_number": "903-597-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPKINS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "903-438-4566"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025945",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petal Hill Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Clairmont Tyler",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Clairmont Tyler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.