Active NPI
GPCH, LLC
Doing business as Golden Plains Walk-in Clinic
- Family Medicine Physician
- Borger, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GPCH, LLC
- Doing business as
- Golden Plains Walk-in Clinic
- Practice address
- 202 S McGee St
Borger, TX 79007-4022 - Phone
- (806) 467-5804
- NPI assigned
- Apr 24, 2018
- Last updated
- Aug 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Earl Bates Jr.
- Title
- Ceo
- Phone
- (806) 467-5700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Rural Health Clinic/Center | 261QR1300X | NU |
Addresses
Primary practice location
202 S McGee St
Borger, TX 79007-4022
Mailing address
100 Medical Dr
Borger, TX 79007-7579
Phone (806) 467-5700
Other names 1
- Golden Plains Walk-in Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090311000280 | TX | Part B Supplier - Clinic/Group Practice | 0042303232 |
Receives reassigned benefits from 37 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Borger, TX; Fritch, TX; Missouri City, TX |
| O20180706000674 | TX | Part A Provider - Rural Health Clinic | 0042303232 | Practice locations: Borger, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1366930505. Details of each certification follow.
Rural health clinic certification: CCN 673476
- Legal name
- GPCH LLC
- Doing business as
- GOLDEN PLAINS WALK IN CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- May 7, 2019
- Last certification
- Feb 12, 2025
- Ownership / control type
- 2B
- Organization structure
- LLC
- Incorporated
- Jun 5, 2007 in TX
- Enrollment address
- 202 S McGee Street
Ste B
Borger, TX 79007-4022 - Related CCNs
- 451369
Related certifications (CCN) 2
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Lighthouse-Borger
- Geriatric Psychiatry Physician
- Borger, TX
- NPI 1205358694
Parent provider
-
dba Golden Plains Community Hospital
- Critical Access Hospital
- Borger, TX
- NPI 1841497153
Parent provider
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Golden Plains Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Borger, TX
- NPI 1174720130
0042303232
-
dba Golden Plains Community Hospital
- Critical Access Hospital
- Borger, TX
- NPI 1841497153
0042303232
-
dba Golden Plains Rural Health Clinic
- Rural Health Clinic/Center
- Borger, TX
- NPI 1942898846
0042303232
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Lighthouse-Borger
- Geriatric Psychiatry Physician
- Borger, TX
- NPI 1205358694
O20090311000280
-
dba Borger OB/GYN
- Obstetrics & Gynecology Physician
- Borger, TX
- NPI 1467972760
O20090311000280
-
dba Borger OB/GYN
- Obstetrics & Gynecology Physician
- Borger, TX
- NPI 1487174793
O20090311000280
-
dba Orthopedic Specialty Clinic
- Sports Medicine (Orthopaedic Surgery) Physician
- Borger, TX
- NPI 1649790940
O20090311000280
-
dba Golden Plains Specialty Clinic
- Obstetrics & Gynecology Physician
- Borger, TX
- NPI 1689195992
O20090311000280
-
dba Fritch Medical Clinic
- Rural Health Clinic/Center
- Fritch, TX
- NPI 1689872020
O20090311000280
-
dba Golden Plains Community Hospital
- Critical Access Hospital
- Borger, TX
- NPI 1841497153
O20090311000280
-
dba Golden Plains Rural Health Clinic
- Rural Health Clinic/Center
- Borger, TX
- NPI 1942898846
O20090311000280
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2156281 | Golden Plains Walk in Clinic | Certificate of waiver | Oct 14, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- GPCH LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Golden Plains Specialty Clinic
- Obstetrics & Gynecology Physician
- Borger, TX
- NPI 1689195992
-
dba Golden Plains Rural Health Clinic
- Rural Health Clinic/Center
- Borger, TX
- NPI 1942898846
Locations
202 S McGee St
Borger, TX 79007
Phone (806) 273-7118
202 S McGee St
Ste B
Borger, TX 79007
Phone (806) 467-5804
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Dina K Hermes | W-2 Managing Employee | Sep 7, 2011 | |
| Audrey Schroeder | W-2 Managing Employee | Jan 1, 2024 | |
| Hutchinson County EMS Inc | 5% Or Greater Direct Ownership Interest | Jan 2, 2023 | 100% |
| Operational/Managerial Control | Jan 2, 2023 | 100% | |
| Donald E Bates | W-2 Managing Employee | Feb 8, 2016 |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Golden Plains Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Borger, TX
- NPI 1174720130
Hutchinson County EMS Inc
-
dba Fritch Medical Clinic
- Rural Health Clinic/Center
- Fritch, TX
- NPI 1689872020
Hutchinson County EMS Inc
-
dba Golden Plains Community Hospital
- Critical Access Hospital
- Borger, TX
- NPI 1841497153
Hutchinson County EMS Inc
-
dba Golden Plains Rural Health Clinic
- Rural Health Clinic/Center
- Borger, TX
- NPI 1942898846
Hutchinson County EMS Inc
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Mexia, TX
- NPI 1619068186
-
- Surgery Physician
- Brownwood, TX
- NPI 1043201247
-
- Certified Registered Nurse Anesthetist
- Bentonville, AR
- NPI 1871604165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1366930505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL DR",
"city": "BORGER",
"state": "TX",
"postal_code": "790077579",
"telephone_number": "806-467-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S MCGEE ST",
"city": "BORGER",
"state": "TX",
"postal_code": "790074022",
"telephone_number": "806-467-5804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GPCH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-24",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "BATES",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "806-467-5700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden Plains Walk-in Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Golden Plains Walk-in Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Borger, TX
- Hugh Owen Goldston, D.D.S.
- Shadid Hugh Goldston, D.D.S.
- Loren Gowdy, LMFT
- GPCH, LLC (Golden Plains Community Hospital)
- GPCH, LLC (Lighthouse-Borger)
- GPCH, LLC (Borger OB/GYN)
- GPCH, LLC (Borger OB/GYN)
- GPCH, LLC (Borger General Surgery)
- GPCH, LLC (Orthopedic Specialty Clinic)
- GPCH, LLC (Golden Plains Specialty Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.