NPIMap

Organization Active NPI

Ochiltree Hospital District

Doing business as Ochiltree General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Perryton, TX
National Provider Identifier
1326190281
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
275N00000X Issued in TX
Legal business name
OCHILTREE HOSPITAL DISTRICT
Doing business as
Ochiltree General Hospital
Practice address
3101 Garrett Dr
Perryton, TX 79070-5323
Phone
(806) 435-3606
Fax
(806) 435-2813
NPI assigned
Jan 18, 2007
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Mrs. Kelly Paige Judice
Title
Interim Ceo
Phone
(806) 435-3606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 275N00000X TX Primary

Addresses

Primary practice location

3101 Garrett Dr
Perryton, TX 79070-5323

Mailing address

3101 Garrett Dr
Perryton, TX 79070-5323
Phone (806) 435-3606

Other identifiers 1

IdentifierTypeStateIssuer
001013253MedicaidTX

Other names 1

  • Ochiltree General Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004000723 TX Part A Provider - Critical Access Hospital 0749257723 Practice locations: Perryton, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326190281. Details of each certification follow.

Hospital certification: CCN 45Z359

Legal name
OCHILTREE HOSPITAL DISTRICT
Doing business as
OCHILTREE GENERAL HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
3101 Garrett Dr
Ochiltree General Hospital
Perryton, TX 79070-5323
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Perryton Health Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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
Ochiltree Hospital District Organization, Perryton, TX Operational/Managerial Control Jan 1, 2011
Kelly Paige Judice Individual Corporate OfficerCeo Sep 22, 2022
Corporate DirectorCeo Sep 22, 2022
W-2 Managing EmployeeCeo Sep 22, 2022

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 4

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

FacilityTypeRoleSince
Ochiltree General HospitalPerryton, TX, CCN 451359 Hospital Operational/Managerial Control Jul 15, 2010
Ochiltree Hospital DistrictPerryton, TX, CCN 457640 Home health agency 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Hospice of Ochiltree General HospitalPerryton, TX, CCN 451589 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 18, 2013
Nov 18, 2013
Perryton Health CenterPerryton, TX, CCN 458750 Rural health clinic Operational/Managerial Control May 6, 2010

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1326190281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323",
            "telephone_number": "806-435-3606",
            "fax_number": "806-435-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323",
            "telephone_number": "806-435-3606",
            "fax_number": "806-435-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHILTREE HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "JUDICE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "806-435-3606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "275N00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013253",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochiltree General Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ochiltree General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perryton, TX

Sources for this page

Verify at the official NPI Registry.