NPIMap

Organization Active NPI

Hamlin Hospital District

Doing business as Hamlin Memorial Hospital

  • Family Medicine Physician
  • Hamlin, TX
National Provider Identifier
1396739710
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HAMLIN HOSPITAL DISTRICT
Doing business as
Hamlin Memorial Hospital
Practice address
632 NW 2ND St
Hamlin, TX 79520-3808
Phone
(325) 576-3646
Fax
(325) 576-3797
NPI assigned
Aug 31, 2005
Last updated
May 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Tonia CookNPI 1114395886
Title
Hospital Administrator
Phone
(325) 576-3646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Rural Acute Care Hospital 282NR1301X 00305 TX

Addresses

Primary practice location

632 NW 2ND St
Hamlin, TX 79520-3808

Mailing address

632 NW 2ND St
Hamlin, TX 79520-3808
Phone (325) 576-3646

Other identifiers 1

IdentifierTypeStateIssuer
094131202MedicaidTX

Other names 1

  • HAMLIN MEMORIAL HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050526000364 TX Part B Supplier - Clinic/Group Practice 2062313679 Receives reassigned benefits from 7 practitioners
Practice locations: Hamlin, TX

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

632 NW 2nd St
Hamlin, TX 79520
Phone (325) 576-3611

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Hamlin Medical ClinicHamlin, TX, CCN 673949 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2014

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1396739710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 NW 2ND ST",
            "city": "HAMLIN",
            "state": "TX",
            "postal_code": "795203808",
            "telephone_number": "325-576-3646",
            "fax_number": "325-576-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 NW 2ND ST",
            "city": "HAMLIN",
            "state": "TX",
            "postal_code": "795203808",
            "telephone_number": "325-576-3646",
            "fax_number": "325-576-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMLIN HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "325-576-3646"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TX",
            "license": "00305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094131202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAMLIN MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HAMLIN MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamlin, TX

Sources for this page

Verify at the official NPI Registry.