Organization Active NPI

McCamey County Hospital District

  • Rural Health Clinic/Center
  • McCamey, TX
National Provider Identifier
1255370474
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
458681 Issued in TX
Legal business name
MCCAMEY COUNTY HOSPITAL DISTRICT
Practice address
2500 S. Hwy 305
McCamey, TX 79752
Phone
(432) 652-8626
Fax
(432) 652-4008
NPI assigned
Jun 5, 2006
Last updated
Nov 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Ms. Judith A Gulihur
Title
Cfo
Phone
(432) 652-8626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 458681 TX Primary

Addresses

Primary practice location

2500 S. Hwy 305
McCamey, TX 79752

Mailing address

PO Box 1200
MC Camey, TX 79752-1200
Phone (432) 652-8626

Other identifiers 6

IdentifierTypeStateIssuer
063567401MedicaidTX
00DT94OtherTXBCBS RHC PHYSICIAN
122439OtherTXSUPERIOR-RHC PHYSICIAN
063567402MedicaidTX
111780100OtherTXFIRST CARE-HOSP RHC PHYS
137325OtherTXSUPERIOR-HOSP BASED RHC

Other names 1

  • McCamey Hospital RHC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160818000264 TX Part A Provider - Rural Health Clinic 8628062320 Practice locations: McCamey, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255370474. Details of each certification follow.

Rural health clinic certification: CCN 458681

Legal name
MCCAMEY COUNTY HOSPITAL DISTRICT
Doing business as
MCCAMEY HOSPITAL RHC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 16, 1996
Last certification
Feb 21, 2018
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
2500 Hwy 305 South
McCamey Hospital RHC
McCamey, TX 79752-1200
Related CCNs
451309

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

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
McCamey Hospital and Co6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Monica Sheldon Individual Corporate DirectorCeo Nov 17, 2025
W-2 Managing EmployeeCeo Nov 17, 2025
McCamey County Hospital District Organization, McCamey, TX Non-profit Operational/Managerial Control Jan 1, 2007

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
McCamey HospitalMcCamey, TX, CCN 451309 Hospital Operational/Managerial Control Jan 1, 2007
McCamey HospitalMcCamey, TX, CCN 45Z309 Hospital Operational/Managerial Control Jan 1, 2007

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1255370474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "MC CAMEY",
            "state": "TX",
            "postal_code": "797521200",
            "telephone_number": "432-652-8626",
            "fax_number": "432-652-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S. HWY 305",
            "city": "MCCAMEY",
            "state": "TX",
            "postal_code": "79752",
            "telephone_number": "432-652-8626",
            "fax_number": "432-652-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCAMEY COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "GULIHUR",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "432-652-8626",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "458681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063567401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RHC PHYSICIAN",
            "identifier": "00DT94",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR-RHC PHYSICIAN",
            "identifier": "122439",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063567402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE-HOSP RHC PHYS",
            "identifier": "111780100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR-HOSP BASED RHC",
            "identifier": "137325",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCamey Hospital RHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McCamey, TX

Sources for this page

Verify at the official NPI Registry.