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Lockney General Hospital District

Organization Active NPI Emergency Medicine Physician · Lockney, TX

NPI 1154930071 · NPPES record last updated Jul 27, 2020

Key facts

NPI
1154930071
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
LOCKNEY GENERAL HOSPITAL DISTRICT
Practice address
320 N. Main St.
Lockney, TX 79241
Phone
(806) 652-3373
Fax
(806) 652-2417
NPI assigned
Jul 27, 2020
Organization subpart
No

Authorized official

Name
Lori J Caballero
Title
Business Office Manager
Phone
(806) 652-3373

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 4

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

Practitioners 8

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
W.J. Mangold Memorial Hospital
Lockney, TX · CCN 451337		 Hospital Operational/Managerial Control Jun 1, 2013
W.J. Mangold Memorial Hospital
Lockney, TX · CCN 45Z337		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1973
Cogdell Clinic
Lockney, TX · CCN 458838		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 28, 2010
Cogdell Clinic Briscoe County
Silverton, TX · CCN 458875		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1973

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040510000633 TX Part B Supplier - Clinic/Group Practice 4880504968 Receives reassigned benefits from 2 practitioners
Practice locations: Lockney, TX

National Provider Directory

Tax ID family
Lockney General Hospita (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207P00000X Yes

Addresses

Primary practice location

320 N. Main St.
Lockney, TX 79241

Mailing address

PO Box 37
Lockney, TX 79241-0037
Phone (806) 652-3373

Other names

  • Lockney General Hospital District ER Physician Group Doing business as
  • Lockney General Hospital ER Physician Group Doing business as

Other providers in Lockney, TX

All providers in Lockney, TX · Emergency Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.