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Scurry County Hospital District

Organization Active NPI Rural Health Clinic/Center · Snyder, TX

NPI 1104293737 · NPPES record last updated Jun 12, 2024

Key facts

NPI
1104293737
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
SCURRY COUNTY HOSPITAL DISTRICT
Practice address
1700 Cogdell Blvd
Snyder, TX 79549
Phone
(325) 574-7439
Fax
(325) 574-7433
NPI assigned
Aug 31, 2015
Organization subpart
No

Authorized official

Name
Mrs. Ella Helms
Title
Ceo
Phone
(325) 574-7437

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 5

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

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

Facilities with the same owner 2

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

Practitioners 21

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2221439Cogdell Specialty Clinic
1700 Cogdell Blvd, Snyder, TX 79549		Certificate of waiverApr 20, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Rural health clinic certification: CCN 678557

Legal name
SCURRY COUNTY HOSPITAL DISTRICT
Doing business as
COGDELL SPECIALTY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 6, 2021
Last certification
Aug 6, 2021
Ownership / control type
Non-profit – church related
Organization structure
Other · Non-profit
Enrollment address
1700 Cogdell Blvd
Snyder, TX 79549-6162
Related CCNs
451384

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Robbie Dewberry
Individual 		Corporate Director
Cfo		 Jun 7, 2024
Armando Monroy
Individual 		Corporate Director
RHC Director		 May 12, 2025
Scurry County Hospital District
Organization · Snyder, TX 		Operational/Managerial Control Sep 1, 2015
Collin McLarty
Individual 		Corporate Director
Ceo		 Sep 1, 2025 100%
W-2 Managing Employee
Ad;		 Sep 1, 2025 100%

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Cogdell Memorial Hospital
Snyder, TX · CCN 451384		 Hospital Operational/Managerial Control Jul 1, 2014
Cogdell Memorial Hospital
Snyder, TX · CCN 45Z384		 Hospital Operational/Managerial Control Jul 1, 2014
Cogdell Family Clinic
Snyder, TX · CCN 458827		 Rural health clinic Operational/Managerial Control Sep 1, 2008

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20151124001610 TX Part a Provider - Rural Health Clinic 7012987589 Practice locations: Snyder, TX

National Provider Directory

Tax ID family
DM Cogdell Memorial Hos (6 organizations share this tax ID)

Locations

1700 Cogdell Blvd
Ste Rhc
Snyder, TX 79549

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Rural Health Clinic/Center 261QR1300X Yes
Health Maintenance Organization 302R00000X

Addresses

Primary practice location

1700 Cogdell Blvd
Snyder, TX 79549

Mailing address

1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 574-7439

Other names

  • COGDELL SPECIALTY CLINIC Doing business as

Other providers in Snyder, TX

All providers in Snyder, TX · Rural Health Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.