NPIMap

Organization Active NPI

Hemphill County Hospital District

  • Land Ambulance
  • Canadian, TX
National Provider Identifier
1003067513
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
106001 Issued in TX
Legal business name
HEMPHILL COUNTY HOSPITAL DISTRICT
Practice address
1020 S 4TH St
Canadian, TX 79014-3315
Phone
(806) 323-6422
Fax
(806) 323-9157
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Christy Francis
Title
Administrator
Phone
(806) 323-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 106001 TX Primary

Addresses

Primary practice location

1020 S 4TH St
Canadian, TX 79014-3315

Mailing address

1020 S 4TH St
Canadian, TX 79014-3315
Phone (806) 323-6422

Other identifiers 3

IdentifierTypeStateIssuer
1095887-03MedicaidTX
1095887-04MedicaidTX
109588701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190329000428 TX Part B Supplier - Ambulance Service Supplier 4587652078 Practice locations: Canadian, TX

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Hemphill County HospitalCanadian, TX, CCN 671301 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 17, 2023
Mar 17, 2023
Hemphill County HospitalCanadian, TX, CCN 67Z301 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 17, 2023
Mar 17, 2023
Windflower Health CenterAmarillo, TX, CCN 675904 Skilled nursing facility Operational/Managerial Control Feb 28, 2015
Hemphill County Hospital Home Health AgencyCanadian, TX, CCN 677427 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2012
Mar 1, 2012
Hemphill County HospiceCanadian, TX, CCN 451603 Hospice Operational/Managerial Control (100%) Feb 20, 2012
Canadian Family PhysiciansCanadian, TX, CCN 673459 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 1, 2014
Jun 1, 2014
Harvester Family Medical ClinicPampa, TX, CCN 673458 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2016
Jan 1, 2016

National Provider Directory

National Provider Directory
Tax ID family
Hemphill Cty Hosp District11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1c565283-08b7-4811-af3a-d8ab0c3d5260/

Owned or controlled facilities with NPI records 7

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

Other NPIs with the same Medicare PAC ID 7

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

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1003067513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S 4TH ST",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143315",
            "telephone_number": "806-323-6422",
            "fax_number": "806-323-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S 4TH ST",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143315",
            "telephone_number": "806-323-6422",
            "fax_number": "806-323-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMPHILL COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-323-6422"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "106001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1095887-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1095887-04",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109588701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canadian, TX

Sources for this page

Verify at the official NPI Registry.