NPIMap

Organization Active NPI

High Plains Health Providers, Inc.

Doing business as Miramar

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Wichita Falls, TX
National Provider Identifier
1306062864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HIGH PLAINS HEALTH PROVIDERS, INC.
Doing business as
Miramar
Practice address
2911 Avenue L
Wichita Falls, TX 76309-3836
Phone
(940) 766-6751
Fax
(940) 766-6753
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. George W Clay IV
Title
Owner
Phone
(940) 766-6751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X TX Primary

Addresses

Primary practice location

2911 Avenue L
Wichita Falls, TX 76309-3836

Mailing address

1505 P B LN
Suite a
Wichita Falls, TX 76302-2631
Phone (940) 766-6751

Other identifiers 1

IdentifierTypeStateIssuer
45G891MedicaidTX

Other names 1

  • Miramar Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Court4 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.

Locations

1505 P B Ln
Ste A
Wichita Falls, TX 76302

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306062864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 P B LN",
            "address_2": "SUITE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022631",
            "telephone_number": "940-766-6751",
            "fax_number": "940-766-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 AVENUE L",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763093836",
            "telephone_number": "940-766-6751",
            "fax_number": "940-766-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PLAINS HEALTH PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-766-6751",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45G891",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.