NPIMap

Organization Active NPI

Mitchell County Hospital District

  • Critical Access Hospital
  • Colorado City, TX
National Provider Identifier
1114198496
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
75 Issued in TX
Legal business name
MITCHELL COUNTY HOSPITAL DISTRICT
Practice address
997 W Interstate 20
Colorado City, TX 79512-2685
Phone
(325) 728-3431
Fax
(325) 728-8974
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Ms. Karen Yvonne Holman
Title
Administrative Assistant
Phone
(325) 728-3431

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 75 TX
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X 75 TX
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 75 TX
Critical Access Hospital 282NC0060X 75 TX Primary

Addresses

Primary practice location

997 W Interstate 20
Colorado City, TX 79512-2685

Mailing address

997 W Interstate 20
Colorado City, TX 79512-2685
Phone (325) 728-3431

Other identifiers 1

IdentifierTypeStateIssuer
00533KOtherTXMEDICARE GROUP PTAN

Other names 1

  • Mitchell County Hospital Group Other name

National Provider Directory

National Provider Directory
Tax ID family
Mitchell County Hospital11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1114198496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 W INTERSTATE 20",
            "city": "COLORADO CITY",
            "state": "TX",
            "postal_code": "795122685",
            "telephone_number": "325-728-3431",
            "fax_number": "325-728-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 W INTERSTATE 20",
            "city": "COLORADO CITY",
            "state": "TX",
            "postal_code": "795122685",
            "telephone_number": "325-728-3431",
            "fax_number": "325-728-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "325-728-3431",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "75",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "75",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "75",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "75",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00533K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell County Hospital Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.