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Organization Active NPI

Palo Pinto County Hospital District

Doing business as Palo Pinto Mobile Clinic

  • Family Medicine Physician
  • Mineral Wells, TX
National Provider Identifier
1376278366
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALO PINTO COUNTY HOSPITAL DISTRICT
Doing business as
Palo Pinto Mobile Clinic
Practice address
400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone
(940) 745-0484
Fax
(940) 328-6260
NPI assigned
Jul 22, 2022
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Ross Korkmas
Title
Ceo
Phone
(940) 328-6400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

400 SW 25TH Ave
Mineral Wells, TX 76067-8246

Mailing address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

Other names 1

  • PALO PINTO MOBILE CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221031002831 TX Part B Supplier - Hospital Department(S) 5890602759 Receives reassigned benefits from 1 practitioner
Practice locations: Mineral Wells, TX

Other NPIs with the same Medicare PAC ID 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Palo Ointo Other Profee26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

202 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 328-7507

218 SW 26th Ave
Mineral Wells, TX 76067
Phone (940) 325-4471

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

Ownership & related parties

All facility ownership & control disclosures 14

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

FacilityTypeRoleSince
Palo Pinto General HospitalMineral Wells, TX, CCN 450565 Hospital Operational/Managerial Control Feb 7, 2007
Palo Pinto General HospitalMineral Wells, TX, CCN 45U565 Hospital Operational/Managerial Control Jun 13, 1968
White Settlement Nursing CenterWhite Settlement, TX, CCN 455475 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Wedgewood Nursing HomeFort Worth, TX, CCN 455572 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Santa Fe Health & Rehabilitation CenterWeatherford, TX, CCN 455957 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Palo Pinto Nursing CenterMineral Wells, TX, CCN 455961 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Clyde Nursing CenterClyde, TX, CCN 675038 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Benbrook Nursing and Rehabilitation CenterBenbrook, TX, CCN 675906 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014
Heritage House at Keller Rehab and NursingKeller, TX, CCN 675153 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Windcrest Health & RehabilitationAbilene, TX, CCN 676219 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Mineral Wells Family HealthMineral Wells, TX, CCN 458832 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2003
Community Care CenterMineral Wells, TX, CCN 458653 Rural health clinic Operational/Managerial Control (100%) Jan 1, 1990
Gordon Family HealthGordon, TX, CCN 458548 Rural health clinic Operational/Managerial Control (100%) Sep 1, 1994
Santo Family HealthSanto, TX, CCN 673416 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012

Owned or controlled facilities with NPI records 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 81

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 81

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1376278366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-325-7891",
            "fax_number": "940-328-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-745-0484",
            "fax_number": "940-328-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO PINTO COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "KORKMAS",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-328-6400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALO PINTO MOBILE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALO PINTO MOBILE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.