Organization Active NPI

GPCH, LLC

Doing business as Golden Plains Walk-in Clinic

  • Family Medicine Physician
  • Borger, TX
National Provider Identifier
1366930505
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Jun 5, 2007 in TX
Enrollment address
202 S McGee Street
Ste B
Borger, TX 79007-4022
Related CCNs
451369

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 9

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

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
45D2156281Golden Plains Walk in Clinic202 McGee Suite B, Borger, TX 79007Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
GPCH LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

NameRoleSinceShare
Dina K Hermes Individual W-2 Managing EmployeeCorporate Chief Financial Officer Sep 7, 2011
Audrey Schroeder Individual W-2 Managing Employee Jan 1, 2024
Hutchinson County EMS Inc Organization, Borger, TX Non-profit 5% Or Greater Direct Ownership Interest Jan 2, 2023 100%
Operational/Managerial Control Jan 2, 2023 100%
Donald E Bates Individual W-2 Managing EmployeeChief Executive Officer Feb 8, 2016

Facilities with the same owner 4

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

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.

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

Sources for this page

Verify at the official NPI Registry.