NPIMap

Organization Active NPI

Parmer County Community Hospital Inc.

Doing business as Parmer Medical Center

  • Rural Health Clinic/Center
  • Friona, TX
National Provider Identifier
1144324211
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PARMER COUNTY COMMUNITY HOSPITAL INC.
Doing business as
Parmer Medical Center
Practice address
1307 Cleveland Ave
Friona, TX 79035-1121
Phone
(806) 250-2781
Fax
(806) 250-2088
NPI assigned
Sep 11, 2006
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Ms. Gayla Quillin
Title
Ceo
Phone
(806) 250-2754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

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 1

  • Parmer Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130711000396 TX Part A Provider - Rural Health Clinic 1052383247 Practice locations: Friona, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144324211. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Oct 4, 1945 in TX
Enrollment address
1307 Cleveland Avenue
Friona Rural Health Clinic
Friona, TX 79035-1121
Related CCNs
451300

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Parmer Cty Community Ho4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Parmer County Community Hospital Inc Organization, Friona, TX Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
Brett Whitten Individual Corporate DirectorBoard Member Jan 1, 2013
Dale Schueler Individual Corporate DirectorVice President of the Board Jan 1, 2013
Ricky Barnett Individual Corporate DirectorBoard Member Aug 1, 2018
Gayla Quillin Individual Corporate OfficerCeo Jan 1, 2013
Dennis Anthony Individual Corporate DirectorSecretary of the Board Jan 1, 2013
Daniel Kendrick Individual Corporate DirectorPresident of the Board Jan 1, 2013
Erika Carrillo Individual W-2 Managing Employee Oct 1, 2020

Owners & managing parties with NPI records 2

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

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": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1144324211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CLEVELAND AVE",
            "city": "FRIONA",
            "state": "TX",
            "postal_code": "790351121",
            "telephone_number": "806-250-2781",
            "fax_number": "806-250-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 CLEVELAND AVE",
            "city": "FRIONA",
            "state": "TX",
            "postal_code": "790351121",
            "telephone_number": "806-250-2781",
            "fax_number": "806-250-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARMER COUNTY COMMUNITY HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "QUILLIN",
        "authorized_official_first_name": "GAYLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-250-2754",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parmer Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friona, TX

Sources for this page

Verify at the official NPI Registry.