Organization Active NPI

Collingsworth General Hospital

Doing business as Collingsworth Pharmacy

  • Critical Access Hospital
  • Wellington, TX
National Provider Identifier
1083749634
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
008209 Issued in TX
Legal business name
COLLINGSWORTH GENERAL HOSPITAL
Doing business as
Collingsworth Pharmacy
Practice address
1016 16TH St
Wellington, TX 79095-3738
Phone
(806) 447-1184
Fax
(806) 447-1182
NPI assigned
Feb 23, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Tom Hill, RPH
Title
Pic
Phone
(806) 447-1184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 008209 TX Primary

Addresses

Primary practice location

1016 16TH St
Wellington, TX 79095-3738

Mailing address

1016 16TH St
Wellington, TX 79095-3738
Phone (806) 447-1184

Other identifiers 2

IdentifierTypeStateIssuer
06542OtherTXPHARMACY LISCENSE #
250472MedicaidTX

Other names 1

  • Collingsworth Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Collingsworth General Hospital3 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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1083749634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 16TH ST",
            "city": "WELLINGTON",
            "state": "TX",
            "postal_code": "790953738",
            "telephone_number": "806-447-1184",
            "fax_number": "806-447-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 16TH ST",
            "city": "WELLINGTON",
            "state": "TX",
            "postal_code": "790953738",
            "telephone_number": "806-447-1184",
            "fax_number": "806-447-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINGSWORTH GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "806-447-1184",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "008209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LISCENSE #",
            "identifier": "06542",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250472",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collingsworth Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.