NPIMap

Organization Active NPI

Winkler County Hospital District

  • Emergency Medicine Physician
  • Kermit, TX
National Provider Identifier
1114924164
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
000062 Issued in TX
Legal business name
WINKLER COUNTY HOSPITAL DISTRICT
Practice address
821 Jeffee Drive
Kermit, TX 79745
Phone
(432) 586-5864
Fax
(432) 586-8121
NPI assigned
Jul 6, 2005
Last updated
Nov 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Felicia D Jamison
Title
Controller
Phone
(432) 586-8299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 000062 TX Primary

Addresses

Primary practice location

821 Jeffee Drive
Kermit, TX 79745

Mailing address

PO Drawer H
Kermit, TX 79745-6008
Phone (432) 586-5864

Other identifiers 1

IdentifierTypeStateIssuer
080644001MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1114924164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER H",
            "city": "KERMIT",
            "state": "TX",
            "postal_code": "797456008",
            "telephone_number": "432-586-5864",
            "fax_number": "432-586-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 JEFFEE DRIVE",
            "city": "KERMIT",
            "state": "TX",
            "postal_code": "79745",
            "telephone_number": "432-586-5864",
            "fax_number": "432-586-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINKLER COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "432-586-8299"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "000062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080644001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kermit, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.