NPIMap

Organization Active NPI

Health and Human Services Commission

Doing business as Rusk State Hospital

  • Psychiatric Hospital
  • Rusk, TX
National Provider Identifier
1942218581
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
HEALTH AND HUMAN SERVICES COMMISSION
Doing business as
Rusk State Hospital
Practice address
805 N. Dickinson Dr.
Rusk, TX 75785
Phone
(903) 683-7201
Fax
(903) 683-7199
NPI assigned
Aug 3, 2006
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Ms. Linda Garnett
Title
Program Supervisor
Phone
(512) 438-5618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X TX Primary

Addresses

Primary practice location

805 N. Dickinson Dr.
Rusk, TX 75785

Mailing address

805 N. Dickinson Dr.
Rusk, TX 75785-2333
Phone (512) 458-7111

Other identifiers 8

IdentifierTypeStateIssuer
0827925-01MedicaidTX
1333312-01MedicaidTX
1333312-02MedicaidTX
HH3006OtherTXBCBS DRUG/ALCOHOL
0638231-01MedicaidTX
HH4588OtherTXBCBS PSYCHIATRIC
1333312-03MedicaidTX
4537835OtherTXPHARMACY NCPDP

Other names 1

  • Rusk State Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170907000059 TX Part A Provider - Hospital 2163795824 Practice locations: Rusk, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942218581. Details of each certification follow.

Hospital certification: CCN 454009

Legal name
HEALTH AND HUMAN SERVICES COMMISSION
Doing business as
RUSK STATE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
May 25, 1970
Last certification
Feb 24, 2023
Beds
380 (76 certified)
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
805 N Dickinson Dr
Rusk, TX 75785-1006
Other Hospital Practice Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Rusk State HospCCN 454009 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
HHSC Wic Program56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

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

View all 17

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
Health and Human Services Commission Organization, Rusk, TX Operational/Managerial Control Sep 1, 2017
Michelle Foster Individual W-2 Managing Employee Mar 15, 2019
Kristy M Carr Individual Operational/Managerial ControlAssociate Commissioner Jan 1, 2023

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
San Antonio State HospitalSan Antonio, TX, CCN 454011 Hospital Operational/Managerial Control Sep 1, 2017
Austin State HospitalAustin, TX, CCN 454084 Hospital Operational/Managerial Control May 1, 2022
Terrell State HospitalTerrell, TX, CCN 454006 Hospital Operational/Managerial Control Sep 1, 2017
North Texas State Hospital - Wichita Falls CampusWichita Falls, TX, CCN 454008 Hospital Operational/Managerial Control May 1, 2022
Rio Grande State CenterHarlingen, TX, CCN 454088 Hospital Operational/Managerial Control Sep 1, 2017
Big Spring State HospitalBig Spring, TX, CCN 454000 Hospital Operational/Managerial Control Jun 30, 2004

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1942218581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N. DICKINSON DR.",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757852333",
            "telephone_number": "512-458-7111",
            "fax_number": "512-458-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N. DICKINSON DR.",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "75785",
            "telephone_number": "903-683-7201",
            "fax_number": "903-683-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND HUMAN SERVICES COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "GARNETT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PROGRAM SUPERVISOR",
        "authorized_official_telephone_number": "512-438-5618",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0827925-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1333312-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1333312-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DRUG/ALCOHOL",
            "identifier": "HH3006",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0638231-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PSYCHIATRIC",
            "identifier": "HH4588",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1333312-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NCPDP",
            "identifier": "4537835",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rusk State Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rusk State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rusk, TX

Sources for this page

Verify at the official NPI Registry.