Organization Active NPI

GPCH, LLC

Doing business as Golden Plains Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Borger, TX
National Provider Identifier
1174720130
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
008574 Issued in TX
Legal business name
GPCH, LLC
Doing business as
Golden Plains Community Hospital
Practice address
100 Medical Drive
Borger, TX 79007-7579
Phone
(806) 467-5702
Fax
(806) 467-5704
NPI assigned
Jul 2, 2007
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Miss Melody Henderson
Title
Interim Ceo
Phone
(806) 467-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 008574 TX Primary

Addresses

Primary practice location

100 Medical Drive
Borger, TX 79007-7579

Mailing address

100 Medical Drive
Borger, TX 79007-7579
Phone (806) 467-5702

Other names 1

  • Golden Plains Community Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111207000469 TX Part A Provider - Critical Access Hospital 0042303232 Practice locations: Borger, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174720130. Details of each certification follow.

Hospital certification: CCN 45Z369

Legal name
GPCH LLC
Doing business as
GOLDEN PLAINS COMMUNITY HOSPITAL
Organization structure
LLCProprietary
Enrollment address
100 Medical Drive
Golden Plains Community Hospital
Borger, TX 79007-7579
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Dina K Hermes Individual Corporate OfficerCfo Oct 1, 2011
Hutchinson County EMS Inc Organization, Borger, TX Non-profit 5% Or Greater Direct Ownership Interest Jan 2, 2023 100%
Operational/Managerial Control Jan 2, 2023 100%
Donald E Bates Individual Corporate OfficerCeo Feb 1, 2016
W-2 Managing EmployeeCeo Feb 1, 2016

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1174720130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DRIVE",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790077579",
            "telephone_number": "806-467-5702",
            "fax_number": "806-467-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DRIVE",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790077579",
            "telephone_number": "806-467-5702",
            "fax_number": "806-467-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "806-467-5700",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "008574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Plains Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Borger, TX

Sources for this page

Verify at the official NPI Registry.