Andrews County Hospital District
Organization Active NPI Rural Health Clinic/Center · Andrews, TX
NPI 1124054069 · NPPES record last updated Jul 31, 2026
Key facts
- NPI
- 1124054069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ANDREWS COUNTY HOSPITAL DISTRICT
- Practice address
- 700 Hospital Dr
Andrews, TX 79714-3638 - Phone
- (432) 523-6624
- Fax
- (432) 523-7901
- NPI assigned
- Jun 23, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ANDREWS COUNTY HOSPITAL DISTRICT
Authorized official
- Name
- Susan Fournier
- Title
- Cfo
- Phone
- (432) 464-2107
Owners & managing parties with NPI records 8
Owned or controlled facilities with NPI records 5
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 8
Related certifications (CCN) 1
Facilities with the same owner 5
Practitioners 28
-
Meagan Leighann Cunningham, FNP-C
-
Ubaldo Estrada, FNP-C
-
Jennifer Brook Hada-Ondriezek, D.P.M.
-
Barbara Norris, ANP-C
-
Rahul Dinesh Puri, M.D.
-
Paul M Slaughter, D.O.
-
Allia R Foley, LCSW
-
Diana Ricketts, PMHNP
-
Neva Deschner, LCSW
-
Amanda Compton, M.D.
-
Debra Ann Davis, NP-C
-
Suhail Sami Daye, M.D.
-
Stephanie Fitzgerald, M.D.
-
Eliana Kelley, APRN
-
Robert Stan Leeper, CRNA
-
Margaret Merriam, DO
-
Julie Ann Parker, FNP
-
Anand C Reddy, MD
-
Ragini Sastry, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0858613 | Andrews Family Medicine RHC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Rural health clinic certification: CCN 458655
- Legal name
- ANDREWS COUNTY HOSPITAL DISTRICT
- Doing business as
- ANDREWS FAMILY MEDICINE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 13, 1995
- Last certification
- Sep 6, 2017
- Ownership / control type
- For profit – corporation
- Organization structure
- Government · Non-profit
- Enrollment address
- 700 Hospital Dr
Andrews Family Medicine
Andrews, TX 79714-3638 - Related CCNs
- 450144
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Manual Gonzales |
Corporate Director |
Jan 31, 2017 | |
| Morgan Mason |
Corporate Officer |
Jan 1, 2021 | |
| W-2 Managing Employee |
Jan 1, 2020 | ||
| Carol Boswell |
Corporate Director |
May 1, 2022 | |
| Donny Booth |
W-2 Managing Employee |
Jul 1, 2012 | |
| Melody Starcher |
W-2 Managing Employee | Oct 18, 2022 | |
| Andrea Warnke |
Corporate Director |
May 31, 2018 | |
| Elizabeth Boynton |
Corporate Director | May 26, 2010 | |
| Christopher Dallaire |
W-2 Managing Employee |
Jun 29, 2020 | |
| Jessica Varner |
Corporate Director |
May 1, 2022 | |
| Andrews County Hospital District |
Operational/Managerial Control | May 26, 2010 | |
| Sarah Bender |
Corporate Director |
Nov 1, 2023 | |
| Mike Sanchez |
Corporate Director |
Nov 1, 2020 |
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Permian Regional Medical Center |
Hospital | Operational/Managerial Control | Jan 1, 2003 |
| Permian Regional Medical Center |
Hospital | Operational/Managerial Control | Jan 1, 2003 |
| Permian Residential Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest Trustee of the SNF Adp of the SNF |
Feb 12, 2003 Feb 12, 2003 Feb 12, 2003 |
| Permian Regional Medical Center Home Health |
Home health agency | Operational/Managerial Control | Nov 1, 2009 |
| Quick Care Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 2, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100521000268 | TX | Part a Provider - Rural Health Clinic | 6002724945 | Practice locations: Andrews, TX |
National Provider Directory
- Tax ID family
- Andrews County Hosp Dist
- Part of
- Andrews County Hosp Dist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 000183 | TX | |
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
700 Hospital Dr
Andrews, TX 79714-3638
Mailing address
700 Hospital Dr
Andrews, TX 79714-3638
Phone (432) 523-6624
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112273103 | Medicaid | TX |
Other names
- ANDREWS FAMILY MEDICINE
Other providers in Andrews, TX
- Larry Joe Allen
- Ama-Life and Associates
- Andrews 2012 PLLC
- Andrews County
- Andrews County Hospital District
- Andrews County Hospital District
- Andrews County Hospital District
- Andrews County Hospital District
- Andrews County Hospital District
- Andrews County Hospital District
All providers in Andrews, TX · Rural Health Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.