BAYLOR SCOTT & WHITE CLINIC - KINGSLAND
NPI 1730480393
Clinic/Center - Rural Health in Kingsland, TX

Q: What is Scott & White Hospital - Marble Falls's specialty?

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

Active since November 12, 2010CLIA 45D0883903 · Microscopy

105 FM 2342, KINGSLAND, TX 78639(325) 388-3515(325) 388-9422 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2019, Apr 18, 2019 (2 updates tracked since 2019).

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About Baylor Scott & White Clinic - Kingsland NPPES

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

BAYLOR SCOTT & WHITE CLINIC - KINGSLAND (NPI 1730480393) is a healthcare organization registered as a rural health in Kingsland, Texas and active in the NPI registry since November 2010. The organization holds a CLIA Microscopy certificate valid through March 2, 2027 and lists Timothy Ols, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730480393

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSCOTT & WHITE HOSPITAL - MARBLE FALLS

Location Address105 FM 2342Kingsland, TX 78639-6010

Mailing AddressPo Box 844658Dallas, TX 75284-4339 · (254) 724-2111

Phone(325) 388-3515

Fax(325) 388-9422

Organization SubpartNo

Authorized OfficialTimothy OlsCeo · (830) 201-8679

Enumeration DateNovember 12, 2010

Last NPPES UpdateOctober 17, 20192 updates tracked since enumeration

✔ NPI 1730480393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in TX · 100090

105 FM 2342, Kingsland, TX 78639

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Other Names 1

Doing Business AsBaylor Scott & White Clinic - Kingsland

Other Identifiers 3

Other287274902TX · Thsteps

Other0042WFTX · Bcbs

Medicaid287274901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 45D0883903

Baylor Scott & White Clinic - Kingsland · Kingsland, TX

Active · expires Mar 2, 2027

CLIA Number45D0883903

Laboratory TypeRural Health Clinic

Certificate Effective DateMarch 3, 2025

Certificate Expiration DateMarch 2, 2027

Laboratory DirectorDavid D. Hoerster

Laboratory Phone(254) 724-4409

Laboratory LocationBaylor Scott & White Clinic - Kingsland105 Fm 2342, Kingsland, TX 78639

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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Other Providers at the Same Location NPPES 11

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

MRS. ADRIENNE VAN ERP COWAN OTR/L

Occupational Therapist