Parmer County Community Hospital Inc.
Organization Active NPI Rural Health Clinic/Center · Friona, TX
NPI 1144324211 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1144324211
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- PARMER COUNTY COMMUNITY HOSPITAL INC.
- Practice address
- 1307 Cleveland Ave
Friona, TX 79035-1121 - Phone
- (806) 250-2781
- Fax
- (806) 250-2088
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Gayla Quillin
- Title
- Ceo
- Phone
- (806) 250-2754
Owners & managing parties with NPI records 2
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Related certifications (CCN) 1
Practitioners 5
-
Amber Lyn Bonds, APN
-
Felipe Lawas Jubay Jr., M.D.
-
Andrew Banuelos, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Rural health clinic certification: CCN 673418
- Legal name
- PARMER COUNTY COMMUNITY HOSPITAL INC
- Doing business as
- PARMER MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 1, 2013
- Last certification
- Apr 16, 2019
- Ownership / control type
- 2B
- Most recent change of ownership
- Jan 2, 2013 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 4, 1945 in TX
- Enrollment address
- 1307 Cleveland Avenue
Friona Rural Health Clinic
Friona, TX 79035-1121 - Related CCNs
- 451300
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Parmer County Community Hospital Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 2013 | 100% |
| Brett Whitten |
Corporate Director |
Jan 1, 2013 | |
| Dale Schueler |
Corporate Director |
Jan 1, 2013 | |
| Ricky Barnett |
Corporate Director |
Aug 1, 2018 | |
| Gayla Quillin |
Corporate Officer |
Jan 1, 2013 | |
| Dennis Anthony |
Corporate Director |
Jan 1, 2013 | |
| Daniel Kendrick |
Corporate Director |
Jan 1, 2013 | |
| Erika Carrillo |
W-2 Managing Employee | Oct 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130711000396 | TX | Part a Provider - Rural Health Clinic | 1052383247 | Practice locations: Friona, TX |
National Provider Directory
- Tax ID family
- Parmer County Community Hospital Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1307 Cleveland Ave
Friona, TX 79035-1121
Mailing address
1307 Cleveland Ave
Friona, TX 79035-1121
Phone (806) 250-2781
Other names
- Parmer Medical Center
Other providers in Friona, TX
- Carol Ann Jackson
- Felipe Lawas Jubay Jr.
- Mark Malone MD PA
- Rene Lynne McCutchen
- Parmer County Community Hospital
- Parmer County Community Hospital Inc.
- Parmer County Community Hospital, Inc
- Parmer County Community Hospital, Inc.
- Parmer County Hospital District
- Parmer County Hospital District
All providers in Friona, 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 May 20, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.