PETERSON COMMUNITY CARE CLINIC RHC
NPI 1376129296
Clinic/Center - Rural Health in Kerrville, TX

Active since March 22, 2021CLIA 45D2056802 · Waiver
1740 JUNCTION HWY, KERRVILLE, TX 78028(830) 258-7900 Get Directions Write a Review

NPPES record last updated: March 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2023, Jul 27, 2022, Mar 22, 2021 (3 updates tracked since 2021).

About Peterson Community Care Clinic Rhc NPPES

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

PETERSON COMMUNITY CARE CLINIC RHC (NPI 1376129296) is a healthcare organization registered as a rural health in Kerrville, Texas and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Christopher L Ballesteros, Rev Cycle Director, Privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1376129296
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSID PETERSON MEMORIAL HOSPITAL
Location Address1740 JUNCTION HWYKerrville, TX 78028-9401
Mailing Address551 Hill Country DrKerrville, TX 78028-6085 · (830) 258-7343 · Fax (830) 258-7678
Organization SubpartNo
Authorized OfficialChristopher L BallesterosRev Cycle Director, Privacy Officer · (830) 258-7343
Enumeration DateMarch 22, 2021
Last NPPES UpdateMarch 11, 20233 updates tracked since enumeration
NPPES CertifiedMarch 11, 2023
NPI 1376129296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1740 JUNCTION HWY, Kerrville, TX 78028

Other Names 1

Doing Business AsPeterson Community Care Clinic Rhc

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 45D2056802

Peterson Community Care Center · Kerrville, TX
Active · expires Apr 3, 2027
CLIA Number45D2056802
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorEve Betancourt
Laboratory Phone(830) 258-7378
Laboratory LocationPeterson Community Care Center1740 Junction Highway, Kerrville, TX 78028
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner
1740 JUNCTION HWY
KERRVILLE, TX 78028
Nurse Practitioner (Family)
1740 JUNCTION HWY
KERRVILLE, TX 78028
Physical Therapist
1740 JUNCTION HWY
KERRVILLE, TX 78028
Nurse Practitioner (Family)
1740 JUNCTION HWY
KERRVILLE, TX 78028
Internal Medicine
1740 JUNCTION HWY
KERRVILLE, TX 78028
Nurse Practitioner (Family)
1740 JUNCTION HWY
KERRVILLE, TX 78028
Nurse Practitioner (Family)
1740 JUNCTION HWY
KERRVILLE, TX 78028

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 Sid Peterson Memorial Hospital's NPI number?

The NPI number for Sid Peterson Memorial Hospital is 1376129296. It was assigned to this organization in the NPPES registry on March 22, 2021. The provider is doing business as Peterson Community Care Clinic Rhc.

Where is Sid Peterson Memorial Hospital located?

Sid Peterson Memorial Hospital is located at 1740 Junction Hwy, Kerrville, TX 78028. The listed phone number is (830) 258-7900.

What is Sid Peterson Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Sid Peterson Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2056802) is associated with this NPI, valid through April 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sid Peterson Memorial Hospital was last updated on March 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.