NPIMap

Organization Active NPI

Parker County Hospital District

Doing business as Telemedicine Program

  • Clinic/Center
  • Weatherford, TX
National Provider Identifier
1194598110
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PARKER COUNTY HOSPITAL DISTRICT
Doing business as
Telemedicine Program
Practice address
1115 Pecan Dr
Weatherford, TX 76086-5775
Phone
(817) 458-3335
NPI assigned
Nov 1, 2023
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKER COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Randy Bacus
Title
Ceo
Phone
(817) 341-2520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1115 Pecan Dr
Weatherford, TX 76086-5775

Mailing address

1130 Pecan Dr
Weatherford, TX 76086-5774

Other names 1

  • Telemedicine Program Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140925000415 TX Part B Supplier - Clinic/Group Practice 0840269163 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Weatherford, TX

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Campbell Hospital9 organizations share this tax ID, including this one
Part of
Campbell Hospital

Other organizations with this tax ID 8

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1517 Texas Dr
Weatherford, TX 76086
Phone (817) 458-3300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9877/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1194598110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PECAN DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 PECAN DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865775",
            "telephone_number": "817-458-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKER COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2023-11-01",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "BACUS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-341-2520"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telemedicine Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.