Organization Active NPI

Preferred Hospital Leasing Van Horn Inc

Doing business as Culberson Hospital

  • Critical Access Hospital
  • Van Horn, TX
National Provider Identifier
1013970862
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
008172 Issued in TX
Legal business name
PREFERRED HOSPITAL LEASING VAN HORN INC
Doing business as
Culberson Hospital
Practice address
Eisenhower-FM 2185
Van Horn, TX 79855
Phone
(432) 283-2760
Fax
(443) 228-3258
NPI assigned
Apr 11, 2006
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Donald Freeman
Title
President
Phone
(405) 878-0202

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Critical Access Hospital 282NC0060X 008172 TX Primary
Land Ambulance 3416L0300X 055001 TX
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

Eisenhower-FM 2185
Van Horn, TX 79855

Mailing address

PO Box 609
Van Horn, TX 79855-0609
Phone (432) 283-2760

Other identifiers 2

IdentifierTypeStateIssuer
184302101MedicaidTX
176354201MedicaidTX

Other names 1

  • Culberson Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130723000583 TX Part A Provider - Critical Access Hospital 1456381540 Receives reassigned benefits from 5 practitioners
Practice locations: Van Horn, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013970862. Details of each certification follow.

Hospital certification: CCN 451338

Legal name
PREFERRED HOSPITAL LEASING VAN HORN INC
Doing business as
CULBERSON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2003
Last certification
Sep 16, 2020
Beds
25
Ownership / control type
Other
Most recent change of ownership
Aug 1, 2004 (2 total)
Organization structure
CorporationProprietary
Incorporated
Jul 8, 2004 in OK
Enrollment address
Eisenhower & Farm Market Road 2185
Van Horn, TX 79855-0609
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Culberson HospitalCCN 451338 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Donald a Freeman Individual 5% Or Greater Direct Ownership Interest Aug 1, 2004 100%
Corporate OfficerPresident Aug 1, 2004 100%
Preferred Management Corporation Organization, Shawnee, OK For-profit Operational/Managerial Control Aug 1, 2004
Rick Gray Individual W-2 Managing EmployeeAdministrator Nov 15, 2018
Karla a Betterton Individual Corporate OfficerVice President of Finance Aug 1, 2004
Jared Chanski Individual Corporate OfficerVice President of Operations Jan 1, 2019
Josh Tucker Individual Corporate OfficerChief Financial Officer Dec 1, 2017

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

Practitioners & affiliated clinicians

Practitioners 34

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 34

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1013970862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "VAN HORN",
            "state": "TX",
            "postal_code": "798550609",
            "telephone_number": "432-283-2760",
            "fax_number": "432-283-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EISENHOWER-FM 2185",
            "city": "VAN HORN",
            "state": "TX",
            "postal_code": "79855",
            "telephone_number": "432-283-2760",
            "fax_number": "443-228-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HOSPITAL LEASING VAN HORN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-878-0202"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "008172",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "055001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184302101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176354201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Culberson Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Horn, TX

Sources for this page

Verify at the official NPI Registry.