NPIMap

Organization Active NPI

Preferred Hospital Leasing Coleman, Inc

Doing business as Coleman County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Coleman, TX
National Provider Identifier
1053686733
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
PREFERRED HOSPITAL LEASING COLEMAN, INC
Doing business as
Coleman County Medical Center
Practice address
310 S Pecos St
Coleman, TX 76834-4159
Phone
(325) 625-2135
NPI assigned
Mar 14, 2012
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

310 S Pecos St
Coleman, TX 76834-4159

Mailing address

120 W Macarthur St
Suite 121
Shawnee, OK 74804-2007
Phone (405) 878-0202

Other names 1

  • Coleman County Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120419000807 TX Part A Provider - Critical Access Hospital 8325209281 Practice locations: Coleman, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053686733. Details of each certification follow.

Hospital certification: CCN 45Z347

Legal name
PREFERRED HOSPITAL LEASING COLEMAN, INC.
Doing business as
COLEMAN COUNTY MEDICAL CENTER COMPANY
Organization structure
CorporationProprietary
Incorporated
Nov 11, 2011 in OK
Enrollment address
310 S Pecos St
Coleman County Medical Center Company
Coleman, TX 76834-4159
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).

National Provider Directory

National Provider Directory
Tax ID family
Preferred Hospital Leasing Coleman Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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 Mar 1, 2012 51%
Preferred Management Corporation Organization, Shawnee, TX Corporation Operational/Managerial Control Mar 1, 2012 100%
Clay Vogel Individual W-2 Managing EmployeeAdministrator Mar 20, 2017 100%
Karla a Betterton Individual Corporate OfficerVP of Finance Mar 1, 2012
Jared Chanski Individual Corporate OfficerVice President of Operations Jan 1, 2019
Josh Tucker Individual Corporate OfficerChief Financial Officer Jan 1, 2019

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

Affiliated clinicians 2

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": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1053686733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MACARTHUR ST",
            "address_2": "SUITE 121",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042007",
            "telephone_number": "405-878-0202",
            "fax_number": "405-273-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PECOS ST",
            "city": "COLEMAN",
            "state": "TX",
            "postal_code": "768344159",
            "telephone_number": "325-625-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HOSPITAL LEASING COLEMAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coleman County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coleman, TX

Sources for this page

Verify at the official NPI Registry.