Active NPI
GPCH, LLC
Doing business as Lighthouse-Borger
- Geriatric Psychiatry Physician
- Borger, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- Legal business name
- GPCH, LLC
- Doing business as
- Lighthouse-Borger
- Practice address
- 100 Medical Dr
Borger, TX 79007-7579 - Phone
- (806) 467-5707
- Fax
- (806) 467-5726
- NPI assigned
- Jul 7, 2017
- Last updated
- Aug 22, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | NU | Primary |
Addresses
Primary practice location
100 Medical Dr
Borger, TX 79007-7579
Mailing address
100 Medical Dr
Borger, TX 79007-7579
Phone (806) 467-5707
Other names 2
- Lighthouse-Borger
- Beacon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070904000598 | TX | Part A Provider - Critical Access Hospital | 0042303232 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Borger, TX |
| O20090311000280 | TX | Part B Supplier - Clinic/Group Practice | 0042303232 |
Receives reassigned benefits from 37 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Borger, TX; Fritch, TX; Missouri City, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1205358694. Details of each certification follow.
Hospital certification: CCN 451369
- Legal name
- GPCH LLC
- Doing business as
- GOLDEN PLAINS COMMUNITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Dec 1, 2005
- Last certification
- Sep 15, 2021
- Beds
- 25
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Oct 1, 2007 (2 total)
- Organization structure
- LLC
- Incorporated
- Oct 1, 2007 in TX
- Enrollment address
- 100 Medical Drive
Borger, TX 79007-7579
Related certifications (CCN) 3
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Golden Plains Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Borger, TX
- NPI 1174720130
-
dba Golden Plains Walk-in Clinic
- Family Medicine Physician
- Borger, TX
- NPI 1366930505
Parent provider
-
dba Fritch Medical Clinic
- Rural Health Clinic/Center
- Fritch, TX
- NPI 1689872020
Parent provider
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Golden Plains Walk-in Clinic
- Family Medicine Physician
- Borger, TX
- NPI 1366930505
O20090311000280
-
dba Borger OB/GYN
- Obstetrics & Gynecology Physician
- Borger, TX
- NPI 1467972760
O20090311000280
-
dba Borger OB/GYN
- Obstetrics & Gynecology Physician
- Borger, TX
- NPI 1487174793
O20090311000280
-
dba Orthopedic Specialty Clinic
- Sports Medicine (Orthopaedic Surgery) Physician
- Borger, TX
- NPI 1649790940
O20090311000280
-
dba Golden Plains Specialty Clinic
- Obstetrics & Gynecology Physician
- Borger, TX
- NPI 1689195992
O20090311000280
-
dba Fritch Medical Clinic
- Rural Health Clinic/Center
- Fritch, TX
- NPI 1689872020
O20090311000280
-
dba Golden Plains Community Hospital
- Critical Access Hospital
- Borger, TX
- NPI 1841497153
O20070904000598, O20090311000280
-
dba Golden Plains Rural Health Clinic
- Rural Health Clinic/Center
- Borger, TX
- NPI 1942898846
O20090311000280
Care Compare: Hospital
Medicare Care Compare- Listed as
- Golden Plains Community Hospital
- Type
- Critical Access Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- GPCH LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Golden Plains Specialty Clinic
- Obstetrics & Gynecology Physician
- Borger, TX
- NPI 1689195992
-
dba Golden Plains Rural Health Clinic
- Rural Health Clinic/Center
- Borger, TX
- NPI 1942898846
Locations
700 W Broadway St
Fritch, TX 79036
Phone (806) 857-2311
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Dina K Hermes | Corporate Officer | Jun 13, 2013 | |
| W-2 Managing Employee | Jun 13, 2013 | ||
| Hutchinson County EMS Inc | 5% Or Greater Direct Ownership Interest | Jan 2, 2023 | 100% |
| Operational/Managerial Control | Jan 2, 2023 | 100% | |
| Donald E Bates | Corporate Officer | Feb 8, 2016 |
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Family Nurse Practitioner
- Amarillo, TX
- NPI 1174762934
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Amarillo, TX
- NPI 1144411760
-
- Obstetrics & Gynecology Physician
- Borger, TX
- NPI 1144268335
-
- Surgery Physician
- Durant, OK
- NPI 1912955626
-
- Certified Registered Nurse Anesthetist
- Hammond, LA
- NPI 1033342019
-
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
- NPI 1639568314
-
- Certified Registered Nurse Anesthetist
- Tulsa, OK
- NPI 1023052388
Affiliated clinicians 89
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Clinical Cardiac Electrophysiology Physician
- Amarillo, TX
- NPI 1710996194
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724284800000",
"number": "1205358694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL DR",
"city": "BORGER",
"state": "TX",
"postal_code": "790077579",
"telephone_number": "806-467-5707",
"fax_number": "806-467-5726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL DR",
"city": "BORGER",
"state": "TX",
"postal_code": "790077579",
"telephone_number": "806-467-5707",
"fax_number": "806-467-5726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GPCH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-07",
"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": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lighthouse-Borger",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lighthouse-Borger",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Beacon",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Borger, TX
- Goldston Dental Health Center, PLLC
- Hugh Owen Goldston, D.D.S.
- Shadid Hugh Goldston, D.D.S.
- Loren Gowdy, LMFT
- GPCH, LLC (Golden Plains Community Hospital)
- GPCH, LLC (Golden Plains Walk-in Clinic)
- GPCH, LLC (Borger OB/GYN)
- GPCH, LLC (Borger OB/GYN)
- GPCH, LLC (Borger General Surgery)
- GPCH, LLC (Orthopedic Specialty Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.