NPIMap

Organization Active NPI

Parmer County Community Hospital, Inc.

Doing business as Parmer Medical Center

  • Special Hospital
  • Friona, TX
National Provider Identifier
1205050481
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
000200 Issued in TX
Legal business name
PARMER COUNTY COMMUNITY HOSPITAL, INC.
Doing business as
Parmer Medical Center
Practice address
1307 Cleveland Ave
Friona, TX 79035-1121
Phone
(806) 250-2754
Fax
(806) 250-2031
NPI assigned
Apr 12, 2007
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Mr. Brandon Lance Gatlin
Title
Administrator
Phone
(806) 250-2754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 000200 TX Primary

Addresses

Primary practice location

1307 Cleveland Ave
Friona, TX 79035-1121

Mailing address

1307 Cleveland Ave
Friona, TX 79035-1121
Phone (806) 250-2754

Other names 1

  • Parmer Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081229000097 TX Part A Provider - Critical Access Hospital 1052383247 1 other NPI on this enrollment
Practice locations: Friona, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205050481. Details of each certification follow.

Hospital certification: CCN 45Z300

Legal name
PARMER COUNTY COMMUNITY HOSPITAL INC
Doing business as
PARMER MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Oct 4, 1945 in TX
Enrollment address
1307 Cleveland Ave
Parmer Medical Center
Friona, TX 79035-1121
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 2

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

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
Parmer County Community4 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 7

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

NameRoleSinceShare
Clint Hurst Individual Corporate Director Dec 11, 2023
Brett Whitten Individual Corporate Director May 1, 2008
Preferred Management Corporation Organization, Shawnee, OK Operational/Managerial Control May 1, 2008
Dale Schueler Individual Corporate Director May 1, 2008
Ricky Barnett Individual Corporate Director Aug 13, 2018
Gayla Quillin Individual Contracted Managing EmployeeAd; Mar 23, 2012
Corporate Director Mar 23, 2012
Dennis Anthony Individual Corporate Director May 1, 2008

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Parmer Medical CenterFriona, TX, CCN 673418 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2013

Owned or controlled facilities with NPI records 1

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

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

Affiliated clinicians 1

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1205050481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CLEVELAND AVE",
            "city": "FRIONA",
            "state": "TX",
            "postal_code": "790351121",
            "telephone_number": "806-250-2754",
            "fax_number": "806-250-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 CLEVELAND AVE",
            "city": "FRIONA",
            "state": "TX",
            "postal_code": "790351121",
            "telephone_number": "806-250-2754",
            "fax_number": "806-250-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARMER COUNTY COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "GATLIN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-250-2754",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "TX",
            "license": "000200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parmer Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friona, TX

Sources for this page

Verify at the official NPI Registry.