Organization Active NPI

County of Yoakum

Doing business as West Texas Medical Center

  • Rural Health Clinic/Center
  • Denver City, TX
National Provider Identifier
1306849633
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
458811 Issued in TX
Legal business name
COUNTY OF YOAKUM
Doing business as
West Texas Medical Center
Practice address
415 N Avenue F
Denver City, TX 79323-2741
Phone
(806) 592-9501
Fax
(806) 592-3052
NPI assigned
May 31, 2005
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF YOAKUMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Suann Parrish
Title
Interim Ceo, Cfo
Phone
(806) 639-8254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 458811 TX Primary

Addresses

Primary practice location

415 N Avenue F
Denver City, TX 79323-2741

Mailing address

415 N Avenue F
Denver City, TX 79323-2741
Phone (806) 592-9501

Other identifiers 2

IdentifierTypeStateIssuer
137227810MedicaidTX
0082EVOtherTXBLUE CROSS/BLUE SHIELD

Other names 1

  • West Texas 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
O20100517000717 TX Part A Provider - Rural Health Clinic 3173431491 Practice locations: Denver City, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306849633. Details of each certification follow.

Rural health clinic certification: CCN 458811

Legal name
COUNTY OF YOAKUM
Doing business as
WEST TEXAS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 6, 2000
Last certification
Apr 2, 2018
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
415 N Avenue F
Denver City, TX 79323-2741
Related CCNs
451308

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

Other NPIs with the same Medicare PAC ID 5

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0990733West Texas Medical Center415 North Avenue F, Denver City, TX 79323Provider-performed microscopyAug 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Home Health Ser of Yoakum7 organizations share this tax ID, including this one
Part of
Home Health Ser of Yoakum

Other organizations with this tax ID 6

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

NameRoleSinceShare
Suann S Parrish Individual Corporate OfficerCfo, Interim Ceo Sep 25, 2014 100%
Christine Dougherty Individual W-2 Managing EmployeeContract / Credentialing MGR Aug 18, 2025
Todd Carrillo Individual Corporate OfficerCoo Mar 17, 2025

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Yoakum County HospitalDenver City, TX, CCN 451308 Hospital Other Jun 10, 2013
Shinnery Oaks CommunityDenver City, TX, CCN 676259 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Direct Ownership Interest (100%)
Jul 1, 2010
Jul 1, 2010
Jul 1, 2010
Plains ClinicPlains, TX, CCN 458810 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2000

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1306849633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N AVENUE F",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793232741",
            "telephone_number": "806-592-9501",
            "fax_number": "806-592-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N AVENUE F",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793232741",
            "telephone_number": "806-592-9501",
            "fax_number": "806-592-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF YOAKUM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF YOAKUM",
        "enumeration_date": "2005-05-31",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "SUANN",
        "authorized_official_title_or_position": "INTERIM CEO, CFO",
        "authorized_official_telephone_number": "806-639-8254"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "458811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137227810",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0082EV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Texas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Texas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver City, TX

Sources for this page

Verify at the official NPI Registry.