NPIMap

Organization Active NPI

Lynn County Hospital District

  • Rural Health Clinic/Center
  • Tahoka, TX
National Provider Identifier
1306970439
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LYNN COUNTY HOSPITAL DISTRICT
Practice address
1809 Lockwood
Tahoka, TX 79373
Phone
(806) 998-4604
Fax
(806) 561-4047
NPI assigned
Mar 14, 2007
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Janie Engle
Title
Credentialing Manager
Phone
(806) 998-4533

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1809 Lockwood
Tahoka, TX 79373

Mailing address

PO Box 1310
Tahoka, TX 79373-1310
Phone (806) 998-4533

Other identifiers 2

IdentifierTypeStateIssuer
1932223765OtherTXSECONDARY NPI
132814810MedicaidTX

Other names 1

  • Family Wellness Clinic - Tahoka RHC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041129000669 TX Part B Supplier - Clinic/Group Practice 9739149295 Receives reassigned benefits from 23 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tahoka, TX; Post, TX; O'Donnell, TX; O'Donell, TX; New Home, TX
O20130708000750 TX Part A Provider - Rural Health Clinic 9739149295 Practice locations: Tahoka, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306970439. Details of each certification follow.

Rural health clinic certification: CCN 673421

Legal name
LYNN COUNTY HOSPITAL DISTRICT
Doing business as
LCHD FAMILY WELLNESS RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 25, 2014
Last certification
Aug 21, 2023
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Incorporated
Sep 1, 1970 in TX
Enrollment address
1809 Lockwood
Tahoka, TX 79373-0766
Related CCNs
451351

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).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lynn County Hospital Di9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Eva Alvarado Individual W-2 Managing EmployeeClinic Office Manager Apr 1, 2013
Donna Garrett Individual Corporate DirectorBusiness Office Manager Jan 1, 2021
W-2 Managing EmployeeBusiness Office Manager Jan 1, 2021
Melanie Ann Richburg Individual Corporate DirectorCeo Jan 1, 2019
W-2 Managing EmployeeCeo Jan 1, 2019
Anthony Brocato Individual Corporate DirectorCfo Aug 1, 2018
W-2 Managing EmployeeCfo Aug 1, 2018
Lynn County Hospital District Organization, Tahoka, TX 5% Or Greater Direct Ownership Interest Mar 1, 2004

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Lynn County Hospital DistrictTahoka, TX, CCN 45Z351 Hospital Operational/Managerial Control Mar 1, 2004

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1306970439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "TAHOKA",
            "state": "TX",
            "postal_code": "793731310",
            "telephone_number": "806-998-4533",
            "fax_number": "806-561-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 LOCKWOOD",
            "city": "TAHOKA",
            "state": "TX",
            "postal_code": "79373",
            "telephone_number": "806-998-4604",
            "fax_number": "806-561-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "ENGLE",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "806-998-4533"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECONDARY NPI",
            "identifier": "1932223765",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132814810",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Wellness Clinic - Tahoka RHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tahoka, TX

Sources for this page

Verify at the official NPI Registry.