NPIMap

Organization Active NPI

Preferred Hospital Leasing Junction, Inc

Doing business as Kimble Hospital

  • Critical Access Hospital
  • Junction, TX
National Provider Identifier
1164688495
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
100014 Issued in TX
Legal business name
PREFERRED HOSPITAL LEASING JUNCTION, INC
Doing business as
Kimble Hospital
Practice address
349 Reid Rd
Junction, TX 76849-3049
Phone
(325) 446-3321
Fax
(325) 446-3769
NPI assigned
Aug 6, 2008
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Donald A Freeman
Title
President
Phone
(405) 878-0202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
Critical Access Hospital 282NC0060X 100014 TX Primary

Addresses

Primary practice location

349 Reid Rd
Junction, TX 76849-3049

Mailing address

120 W Macarthur St
Suite 121
Shawnee, OK 74804-2007
Phone (405) 878-0202

Other names 1

  • Kimble Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081017000278 TX Part A Provider - Critical Access Hospital 4981762051 Receives reassigned benefits from 6 practitioners
Practice locations: Junction, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164688495. Details of each certification follow.

Hospital certification: CCN 451306

Legal name
PREFERRED HOSPITAL LEASING JUNCTION, INC
Doing business as
KIMBLE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 1, 2000
Last certification
Aug 6, 2025
Beds
15
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 1, 2008 (1 total)
Organization structure
CorporationProprietary
Enrollment address
349 Reid Rd
Kimble Hospital
Junction, TX 76849-3049

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Kimble HospitalCCN 451306 · All quality measures
Type
Critical Access Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Rocksprings Medical Clinic4 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 6

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

NameRoleSinceShare
Donald a Freeman Individual 5% Or Greater Direct Ownership InterestPresident Jun 1, 2008 100%
Susan M Parker Individual W-2 Managing EmployeeAd; Oct 3, 2022
Preferred Management Corporation Organization, Shawnee, OK Operational/Managerial Control Jun 1, 2008
Luke Campbell Individual Corporate OfficerVP of Finance Feb 1, 2025
Jared Chanski Individual Corporate OfficerVice President of Operations Jan 1, 2019
Josh Tucker Individual Corporate OfficerChief Financial Officer Dec 1, 2017

Facilities with the same owner 35

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

View all 35

Practitioners & affiliated clinicians

Practitioners 6

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.

Affiliated clinicians 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1164688495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MACARTHUR ST",
            "address_2": "SUITE 121",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042007",
            "telephone_number": "405-878-0202",
            "fax_number": "405-273-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 REID RD",
            "city": "JUNCTION",
            "state": "TX",
            "postal_code": "768493049",
            "telephone_number": "325-446-3321",
            "fax_number": "325-446-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HOSPITAL LEASING JUNCTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-878-0202"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "100014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimble Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Junction, TX

Sources for this page

Verify at the official NPI Registry.