RUCKER CLINIC A LIMESTONE MEDICAL CENTER CLINIC
NPI 1275242489
Nurse Practitioner - Family in Mart, TX

Active since November 16, 2022CLIA 45D1020890 · Waiver
200 N PEARL ST, MART, TX 76664(254) 729-3281(254) 729-3080 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2023, Dec 13, 2022, Nov 16, 2022 (3 updates tracked since 2022).

About Rucker Clinic A Limestone Medical Center Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUCKER CLINIC A LIMESTONE MEDICAL CENTER CLINIC (NPI 1275242489) is a healthcare organization registered as a family in Mart, Texas and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through September 4, 2026 and lists Julie Ann Wilson, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1275242489
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSOUTH LIMESTONE HOSPITAL DISTRICT
Location Address200 N PEARL STMart, TX 76664-1142
Mailing Address701 Mcclintic DrGroesbeck, TX 76642-2128 · (254) 729-3281
Fax(254) 729-3080
Organization SubpartYes
Authorized OfficialJulie Ann WilsonChief Compliance Officer · (254) 729-3281
Enumeration DateNovember 16, 2022
Last NPPES UpdateOctober 30, 20243 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1275242489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Critical Access HospitalTaxonomy 261QC0050X
Also ListedPhysician AssistantTaxonomy 363A00000X
200 N PEARL ST, Mart, TX 76664

Other Names 1

Doing Business AsRucker Clinic A Limestone Medical Center Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1020890

Rucker Clinic A Limestone Medical Center Clinic · Mart, TX
Active · expires Sep 4, 2026
CLIA Number45D1020890
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2024
Certificate Expiration DateSeptember 4, 2026
Laboratory DirectorDr. Claudus Robinson
Laboratory Phone(254) 876-9020
Laboratory LocationRucker Clinic A Limestone Medical Center Clinic200 N Pearl, Mart, TX 76664
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
200 N PEARL ST
MART, TX 76664
Nurse Practitioner (Family)
200 N PEARL ST
MART, TX 76664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Limestone Hospital District's NPI number?

The NPI number for South Limestone Hospital District is 1275242489. It was assigned to this organization in the NPPES registry on November 16, 2022. The provider is doing business as Rucker Clinic A Limestone Medical Center Clinic.

Where is South Limestone Hospital District located?

South Limestone Hospital District is located at 200 N Pearl St, Mart, TX 76664. The listed phone number is (254) 729-3281.

What is South Limestone Hospital District's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does South Limestone Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1020890) is associated with this NPI, valid through September 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Limestone Hospital District was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.