NPIMap

Organization Active NPI

Scurry County Hospital District

Doing business as Cogell Family Clinic

  • Rural Health Clinic/Center
  • Snyder, TX
National Provider Identifier
1316962103
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
000439 Issued in TX
Legal business name
SCURRY COUNTY HOSPITAL DISTRICT
Doing business as
Cogell Family Clinic
Practice address
1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone
(325) 573-1300
Fax
(325) 574-6918
NPI assigned
Jul 13, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Mrs. Ella Helms
Title
Ceo
Phone
(325) 574-7437

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 000439 TX Primary
Rural Health Clinic/Center 261QR1300X 008691 TX

Addresses

Primary practice location

1700 Cogdell Blvd
Snyder, TX 79549-6162

Mailing address

1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (325) 574-7437

Other practice location 1

3711 22nd St Ste C
Lubbock, TX 79410-1303
Phone (806) 370-0478

Other identifiers 1

IdentifierTypeStateIssuer
136330110MedicaidTX

Other names 1

  • Cogell Family Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000461 TX Part A Provider - Rural Health Clinic 7012987589 Practice locations: Snyder, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316962103. Details of each certification follow.

Rural health clinic certification: CCN 458827

Legal name
SCURRY COUNTY HOSPITAL DISTRICT
Doing business as
COGDELL FAMILY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 7, 2003
Last certification
May 31, 2017
Ownership / control type
1B
Most recent change of ownership
Oct 1, 2008 (1 total)
Organization structure
OtherProprietary
Enrollment address
1700 Cogdell Blvd
Snyder, TX 79549-6162
Related CCNs
451384

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
DM Cogdell Memorial Hos6 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 5

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

NameRoleSinceShare
Robbie Dewberry Individual Corporate DirectorCfo Jun 7, 2024
Armando Monroy Individual Corporate DirectorRHC Director May 12, 2025
Irene Canales Individual W-2 Managing EmployeeClinic Manager Jan 1, 2019
Scurry County Hospital District Organization, Snyder, TX Operational/Managerial Control Sep 1, 2008
Collin McLarty Individual Corporate DirectorCeo Sep 1, 2025 100%
W-2 Managing EmployeeAd; Sep 1, 2025 100%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Cogdell Memorial HospitalSnyder, TX, CCN 451384 Hospital Operational/Managerial Control Jul 1, 2014
Cogdell Memorial HospitalSnyder, TX, CCN 45Z384 Hospital Operational/Managerial Control Jul 1, 2014
Cogdell Specialty ClinicSnyder, TX, CCN 678557 Rural health clinic Operational/Managerial Control Sep 1, 2015

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 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1316962103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COGDELL BLVD",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496162",
            "telephone_number": "325-574-7437",
            "fax_number": "325-574-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COGDELL BLVD",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496162",
            "telephone_number": "325-573-1300",
            "fax_number": "325-574-6918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3711 22nd St Ste C",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101303",
            "country_code": "US",
            "telephone_number": "806-370-0478",
            "fax_number": "325-574-7418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCURRY COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-574-7437",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "000439",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "008691",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136330110",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cogell Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cogell Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snyder, TX

Sources for this page

Verify at the official NPI Registry.