NPIMap

Organization Active NPI

Methodist Hospital Plainview Texas

Doing business as Covenant Hospital Plainview

  • Ambulatory Surgical Clinic/Center
  • Plainview, TX
National Provider Identifier
1174630198
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
000146 Issued in TX
Legal business name
METHODIST HOSPITAL PLAINVIEW TEXAS
Doing business as
Covenant Hospital Plainview
Practice address
2601 Dimmitt Rd
Plainview, TX 79072-1833
Phone
(806) 296-5531
Fax
(806) 296-0218
NPI assigned
Aug 24, 2006
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Mr. Donald W Anderson Jr.
Title
Assistant Secretary of Enrollments
Phone
(425) 358-9786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000146 TX Primary
General Acute Care Hospital 282N00000X NU

Addresses

Primary practice location

2601 Dimmitt Rd
Plainview, TX 79072-1833

Mailing address

PO Box 677044
Dallas, TX 75267-7044
Phone (806) 296-5531

Other identifiers 1

IdentifierTypeStateIssuer
127263502MedicaidTX

Other names 1

  • Covenant Hospital Plainview Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000223 TX Part A Provider - Hospital 0749179521 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plainview, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174630198. Details of each certification follow.

Hospital certification: CCN 450539

Legal name
METHODIST HOSPITAL PLAINVIEW TEXAS
Doing business as
COVENANT HOSPITAL PLAINVIEW
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 20, 2025
Beds
100
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 13, 1992 in TX
Enrollment address
2601 Dimmitt Road
Convenant Hospital Plainview
Plainview, TX 79072-1833
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Covenant Hospital PlainviewCCN 450539 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Weidenbach Family Pract8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2222 W 24th St
Plainview, TX 79072
Phone (806) 293-5113

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Kathleen Burrell Individual Corporate OfficerCorporate Secretary Mar 1, 2023
Mark Bacher Individual Corporate DirectorBoard Member Jan 1, 2024
Randall Kaufman Individual Corporate DirectorBoard Member Jan 1, 2022
Riley True Individual Corporate DirectorBoard Member Jan 1, 2021
Kimberlee Bentley Individual Corporate DirectorBoard Member Jan 1, 2024
John Tye Individual Corporate DirectorBoard Member Jan 1, 2022
Joshua W Rollins Individual Corporate DirectorBoard Member Jan 1, 2020
Norma Galvan Individual Corporate DirectorBoard Member Jan 1, 2024
Christopher Williams Individual Corporate DirectorBoard Member Jan 1, 2022
Dennis Dipprey Individual Corporate DirectorBoard Member Jan 1, 2022
Providence Health & Services - Washington Organization, Renton, WA Corporation, Non-profit Operational/Managerial Control Jan 1, 2019
Covenant Health System Organization, Lubbock, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 1999
Cora Rivera Individual Corporate OfficerCfo Oct 31, 2023
Lubbock Methodist Hospital System Organization, Lubbock, TX Corporation, Non-profit Other Apr 1, 1999 43%
Anthony Longoria Individual Corporate DirectorBoard Member Jan 1, 2025
Cassie Dale Mogg Individual Corporate OfficerCeo Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2025
W-2 Managing Employee Sep 8, 2008
Donald Wayne Anderson Individual Corporate OfficerAssistant Secretary of Enrollments Nov 1, 2020
Gregory David Hoffman Individual Corporate OfficerCfo/Treasurer Jan 1, 2023
St. Joseph Health System Organization, Irvine, CA Corporation, Non-profit Other Jul 1, 2016 57%
Dyana Kerr Individual W-2 Managing EmployeeRegional Financial Executive Mar 1, 2023
Sheron Collins Individual Corporate DirectorBoard Member Feb 22, 2022
Providence St. Joseph Health Organization, Renton, WA Corporation, Non-profit Other Jul 1, 2016

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 24

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.

View all 24

Affiliated clinicians 156

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

View all 156

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1174630198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677044",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752677044",
            "telephone_number": "806-296-5531",
            "fax_number": "806-296-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DIMMITT RD",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721833",
            "telephone_number": "806-296-5531",
            "fax_number": "806-296-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HOSPITAL PLAINVIEW TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000146",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127263502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Hospital Plainview",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Covenant Hospital Plainview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainview, TX

Sources for this page

Verify at the official NPI Registry.