Active NPI
Collingsworth General Hospital
Doing business as Collingsworth Pharmacy
- Critical Access Hospital
- Wellington, TX
National Provider Identifier
1083749634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 008209
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06542 | Other | TX | PHARMACY LISCENSE # |
| 250472 | Medicaid | TX |
Other names 1
- Collingsworth Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Collingsworth General Hospital
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Wellington, TX
- NPI 1558495788
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
- Allied Home Health Services, Inc. (Collingsworth Home Health Agency Corp)
- Artemis Leasing LLC (Wellington Care Center)
- Childress County Hospital District (Wellington Care Center)
- Collingsworth Pharmacy, LLC (Collingsworth Pharmacy)
- Jennifer Michelle Edwards, MS, CCC/SLP
- William Paul Estes Jr., MOTRL
- Kendra Lauren Hedrick, M.S., R.D, LD
- Lisa Renea Koepke, LPC
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.