NPIMap

Organization Active NPI

Scott & White Hospital - Taylor

Doing business as Baylor Scott & White Medical Center - Taylor

  • Critical Access Hospital
  • Taylor, TX
National Provider Identifier
1962497800
Registry record updated May 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
44 Issued in TX
Legal business name
SCOTT & WHITE HOSPITAL - TAYLOR
Doing business as
Baylor Scott & White Medical Center - Taylor
Practice address
305 Mallard LN
Taylor, TX 76574-1208
Phone
(512) 352-7611
Fax
(512) 352-4734
NPI assigned
Sep 16, 2005
Last updated
May 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2022

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

Authorized official

Name
Jay Fox
Title
Ceo
Phone
(512) 509-0409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 44 TX Primary

Addresses

Primary practice location

305 Mallard LN
Taylor, TX 76574-1208

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other identifiers 1

IdentifierTypeStateIssuer
136327710MedicaidTX

Other names 1

  • Baylor Scott & White Medical Center - Taylor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000609 TX Part A Provider - Critical Access Hospital 1456246750 Receives reassigned benefits from 91 practitioners
1 other NPI on this enrollment
Practice locations: Taylor, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962497800. Details of each certification follow.

Hospital certification: CCN 451374

Legal name
SCOTT & WHITE HOSPITAL - TAYLOR
Doing business as
BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 20, 2005
Last certification
Nov 7, 2025
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
Oct 20, 1967 in TX
Enrollment address
305 Mallard LN
Taylor, TX 76574-1208
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 2

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

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
Baylor Scott & White Medical Center -TaylorCCN 451374 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Scott White Hosp Taylor5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
William Rogers Individual Operational/Managerial ControlTrustee Jul 1, 2015
Justin Meier Individual Operational/Managerial ControlSVP Corporate Finance Feb 9, 2023
Mark L Montgomery Individual Operational/Managerial ControlTrustee Jul 1, 2015
Morris E Foster Individual Operational/Managerial ControlTrustee Jul 1, 2015
Mark W English Individual Operational/Managerial ControlTrustee Jul 1, 2022
Tresa Muir McNeal Individual Operational/Managerial ControlTrustee Nov 30, 2017
Scott & White Healthcare Organization, Temple, TX Corporation Operational/Managerial Control Sep 1, 2010
Thomas Burdett Individual Operational/Managerial ControlTrustee Jul 1, 2015
Terry Maness Individual Operational/Managerial ControlTrustee Feb 23, 2019
Baylor Scott & White Health Organization, Temple, TX Non-profit Operational/Managerial Control Mar 1, 2014
Dominic Lucia Individual Operational/Managerial ControlTrustee Dec 4, 2020
William D Digaetano Individual Operational/Managerial ControlTrustee Jul 1, 2019
Muralidhar Jatla Individual Operational/Managerial ControlTrustee Jul 1, 2023
Jim Kruse Individual Operational/Managerial ControlTrustee Jul 1, 2015
Nelda Trevino Individual Operational/Managerial ControlTrustee Dec 4, 2020
Jason Cole Individual Corporate DirectorCfo Jul 30, 2007
W-2 Managing EmployeeCfo Jul 30, 2007
Operational/Managerial ControlCfo Jul 30, 2007
Aval-NA'Ree S Green Individual Operational/Managerial ControlTrustee Jul 1, 2023
Angel Eduardo Caldera Individual Operational/Managerial ControlTrustee Nov 30, 2017
Arundhati Rao Individual Operational/Managerial ControlTrustee Dec 4, 2020
Kristen Leslie Manos Individual Corporate DirectorBoard Director Jul 1, 2025
Andra Liemandt Individual Operational/Managerial ControlTrustee Jul 1, 2023
Jarvis Parsons Individual Operational/Managerial ControlTrustee Jul 1, 2024
Megan Kiella Individual Corporate DirectorBoard Director Jul 1, 2025
Jay Fox Individual Corporate DirectorCeo Oct 1, 2014
W-2 Managing EmployeeCeo Oct 1, 2014
Operational/Managerial ControlCeo Oct 1, 2014

Owners & managing parties with NPI records 8

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

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 94

Affiliated clinicians 159

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

View all 159

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1962497800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741208",
            "telephone_number": "512-352-7611",
            "fax_number": "512-352-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT & WHITE HOSPITAL - TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-509-0409"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "44",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136327710",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Scott & White Medical Center - Taylor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baylor Scott & White Medical Center - Taylor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, TX

Sources for this page

Verify at the official NPI Registry.