NPIMap

Organization Active NPI

Muenster Hospital District

Doing business as MMH ER Group

  • Emergency Medicine Physician
  • Muenster, TX
National Provider Identifier
1972556009
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MUENSTER HOSPITAL DISTRICT
Doing business as
MMH ER Group
Practice address
605 N Maple St
Muenster, TX 76252-2424
Phone
(940) 759-6104
Fax
(940) 759-5080
NPI assigned
May 18, 2006
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
MUENSTER HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Brian Roland
Title
Ceo
Phone
(940) 759-6153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

605 N Maple St
Muenster, TX 76252-2424

Mailing address

PO Box 370
Muenster, TX 76252-0370
Phone (940) 759-6104

Other identifiers 3

IdentifierTypeStateIssuer
CP7887OtherTXMEDICARE RAIL ROAD GROUP
0037DEOtherTXBCBS GROUP
120745807MedicaidTX

Other names 1

  • MMH ER GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000571 TX Part B Supplier - Clinic/Group Practice 6608785993 Receives reassigned benefits from 22 practitioners
1 other NPI on this enrollment
Practice locations: Muenster, TX

Other NPIs with the same Medicare PAC ID 3

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.

National Provider Directory

National Provider Directory
Tax ID family
Muenster Memorial Hosp4 organizations share this tax ID, including this one
Part of
Muenster Memorial Hosp

Other organizations with this tax ID 3

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1940 E 42nd St
Ste A
Odessa, TX 79762

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Muenster Memorial HospitalMuenster, TX, CCN 451335 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2002
Muenster Memorial HospitalMuenster, TX, CCN 45Z335 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2002
MMH Family Health ClinicMuenster, TX, CCN 458784 Rural health clinic Operational/Managerial Control Jan 1, 2011

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1972556009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "MUENSTER",
            "state": "TX",
            "postal_code": "762520370",
            "telephone_number": "940-759-6104",
            "fax_number": "940-759-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAPLE ST",
            "city": "MUENSTER",
            "state": "TX",
            "postal_code": "762522424",
            "telephone_number": "940-759-6104",
            "fax_number": "940-759-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUENSTER HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUENSTER HOSPITAL DISTRICT",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-759-6153"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD GROUP",
            "identifier": "CP7887",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0037DE",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120745807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMH ER GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muenster, TX

Sources for this page

Verify at the official NPI Registry.