Fannin County Hospital Authority

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FANNIN COUNTY HOSPITAL AUTHORITY

Practice address

1307 Martin Luther King Dr
Jefferson, TX 75657-1009

Phone

(903) 665-3951

NPI assigned

Aug 21, 2015

Organization subpart

No

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

Authorized official

Name

Clark Sanderson

Title

President

Phone

(903) 583-1854

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avir at Jefferson Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Skilled nursing facility certification: CCN 675241

Legal name

FANNIN COUNTY HOSPITAL AUTHORITY

Doing business as

AVIR AT JEFFERSON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1994

Last certification

Sep 19, 2024

Beds

116

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Avir Healthcare

Organization structure

GovernmentNon-profit

Enrollment address

1307 Martin Luther King Dr
Jefferson, TX 75657-1009

Nursing home name

AVIR AT JEFFERSON

Affiliated entity

AVIR HEALTH GROUP

Listed as

Avir at JeffersonCCN 675241

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11685.9 residents per day on average

Chain

Avir Health Group116 facilities in the chain

Penalties (3 years)

2Fines totaling $16,498

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Tax ID family

Fannin Cnty Hosp Authority70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Bandera, TX
  • NPI 1013874718
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1033972427
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Levelland, TX
  • NPI 1063533511
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Weatherford, TX
  • NPI 1073634366
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Paris, TX
  • NPI 1093176968
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Sherman, TX
  • NPI 1093765026
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Harlingen, TX
  • NPI 1104470293
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Terrell, TX
  • NPI 1124851456
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1134113947
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Gladewater, TX
  • NPI 1144680471
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Cooper, TX
  • NPI 1164389862
  NPD tax ID
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Bedford, TX
  • NPI 1194166132
  NPD tax ID

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

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

• Kimberly Barbolla, DO

  • Internal Medicine Physician
  • Marshall, TX
  • NPI 1437132081

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 55

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

Facilities with the same owner 55

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

• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1033972427

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Levelland, TX
  • NPI 1063533511

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Weatherford, TX
  • NPI 1073634366

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Paris, TX
  • NPI 1093176968

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Harlingen, TX
  • NPI 1104470293

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Greenville, TX
  • NPI 1114388089

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Terrell, TX
  • NPI 1124851456

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1134113947

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Gladewater, TX
  • NPI 1144680471

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Bedford, TX
  • NPI 1194166132

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Bullard, TX
  • NPI 1245070366

  Fannin County Hospital Authority

  CMS ownership
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Bangs, TX
  • NPI 1255452710

  Fannin County Hospital Authority

  CMS ownership

Practitioners 4

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

• Kimberly Barbolla, DO

  • Internal Medicine Physician
  • Marshall, TX
  • NPI 1437132081
  NPD (past)
• Darrell A Bunch, D.O.

  • Family Medicine Physician
  • Longview, TX
  • NPI 1710974811
  NPD (past)
• Hong-I Shen, M.D.

  • Family Medicine Physician
  • Longview, TX
  • NPI 1700866969
  NPD (past)
• Michael J Weber, MD

  • Family Medicine Physician
  • Tatum, TX
  • NPI 1679626097
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kimberly Barbolla, DO

  • Internal Medicine Physician
  • Marshall, TX
  • NPI 1437132081

  Nursing home

  Care Compare affiliation
• Darrell A Bunch, D.O.

  • Family Medicine Physician
  • Longview, TX
  • NPI 1710974811

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755993600000",
    "number": "1124495486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 MARTIN LUTHER KING DR",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756571009",
            "telephone_number": "903-583-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 MARTIN LUTHER KING DR",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756571009",
            "telephone_number": "903-665-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-583-1854"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029296",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avir at Jefferson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Jefferson, TX
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.