NPIMap

Organization Active NPI

Electra Hospital District

Doing business as Electra Tri-Med Ambulance Service

  • Land Ambulance
  • Electra, TX
National Provider Identifier
1922190107
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
300208 Issued in TX
Legal business name
ELECTRA HOSPITAL DISTRICT
Doing business as
Electra Tri-Med Ambulance Service
Practice address
1207 S Bailey St
Electra, TX 76360-3221
Phone
(940) 495-3981
Fax
(940) 495-4137
NPI assigned
Sep 28, 2006
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ELECTRA HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Rebecca McCain
Title
Ceo
Phone
(940) 495-3981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 300208 TX Primary

Addresses

Primary practice location

1207 S Bailey St
Electra, TX 76360-3221

Mailing address

PO Box 1112
Electra, TX 76360-1112
Phone (940) 495-3981

Other identifiers 2

IdentifierTypeStateIssuer
156961801MedicaidTX
HH0728OtherTXBLUE CROSS #

Other names 1

  • Electra Tri-Med Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101118000491 TX Part A Provider - Critical Access Hospital 6507769494 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Electra, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922190107. Details of each certification follow.

Hospital certification: CCN 451343

Legal name
ELECTRA HOSPITAL DISTRICT
Doing business as
ELECTRA MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2003
Last certification
Apr 7, 2026
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
1207 S Bailey St
Electra Memorial Hospital
Electra, TX 76360-3221
Main/Primary Hospital Location

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Electra Memorial HospitalCCN 451343 · 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

National Provider Directory

National Provider Directory
Tax ID family
Electra Hospital Distri12 organizations share this tax ID, including this one
Part of
Electra Hospital Distri

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Kelli Swenson Individual Corporate DirectorChief Financial Officer Apr 1, 2024
W-2 Managing EmployeeChief Financial Officer Apr 1, 2024
Electra Hospital District Organization, Electra, TX 5% Or Greater Direct Ownership Interest Jul 1, 1976 100%
Rebecca McCain Individual Corporate DirectorCeo/Administrator Jan 1, 2015
W-2 Managing EmployeeCeo/Administrator Jan 1, 2015

Owners & managing parties with NPI records 11

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

Practitioners & affiliated clinicians

Affiliated clinicians 75

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

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1922190107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1112",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763601112",
            "telephone_number": "940-495-3981",
            "fax_number": "940-495-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S BAILEY ST",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763603221",
            "telephone_number": "940-495-3981",
            "fax_number": "940-495-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRA HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELECTRA HOSPITAL DISTRICT",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "MCCAIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-495-3981"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "300208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156961801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS #",
            "identifier": "HH0728",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Electra Tri-Med Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Electra, TX

Sources for this page

Verify at the official NPI Registry.