NPIMap

Organization Active NPI

Hansford County Hospital District

Doing business as Hansford Hospital ER Physicians Group

  • Emergency Medicine Physician
  • Spearman, TX
National Provider Identifier
1215924766
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
000395 Issued in TX
Legal business name
HANSFORD COUNTY HOSPITAL DISTRICT
Doing business as
Hansford Hospital ER Physicians Group
Practice address
707 Roland St
Spearman, TX 79081-3441
Phone
(806) 659-2535
Fax
(806) 659-5844
NPI assigned
Sep 30, 2005
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HANSFORD COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Mr. Blake Fitzgearld
Title
Cfo
Phone
(806) 659-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 000395 TX Primary

Addresses

Primary practice location

707 Roland St
Spearman, TX 79081-3441

Mailing address

707 Roland St
Spearman, TX 79081-3441
Phone (806) 659-2535

Other identifiers 2

IdentifierTypeStateIssuer
00D30VOtherTXBLUE CROSS BLUE SHIELD
0820151-03MedicaidTX

Other names 1

  • Hansford Hospital ER Physicians Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050106000356 TX Part B Supplier - Clinic/Group Practice 5698723682 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Spearman, 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
Part of
Family Medical Clinic

Locations

705 W 7th Ave
Spearman, TX 79081
Phone (806) 467-5350

710 Roland St
Spearman, TX 79081
Phone (806) 659-2226

Practitioners & affiliated clinicians

Practitioners 6

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": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1215924766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ROLAND ST",
            "city": "SPEARMAN",
            "state": "TX",
            "postal_code": "790813441",
            "telephone_number": "806-659-2535",
            "fax_number": "806-659-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ROLAND ST",
            "city": "SPEARMAN",
            "state": "TX",
            "postal_code": "790813441",
            "telephone_number": "806-659-2535",
            "fax_number": "806-659-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSFORD COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANSFORD COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "FITZGEARLD",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "806-659-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "000395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00D30V",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0820151-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hansford Hospital ER Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hansford Hospital ER Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spearman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.