NPIMap

Organization Active NPI

Lockney General Hospital District

Doing business as Cogdell Clinic

  • Rural Health Clinic/Center
  • Lockney, TX
National Provider Identifier
1437178357
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
00010 Issued in TX
Legal business name
LOCKNEY GENERAL HOSPITAL DISTRICT
Doing business as
Cogdell Clinic
Practice address
320 N Main
Lockney, TX 79241
Phone
(806) 652-3373
Fax
(806) 652-2417
NPI assigned
Jul 19, 2006
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Vincent Difranco
Title
Chief Executive Officer
Phone
(806) 652-3373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 00010 TX Primary

Addresses

Primary practice location

320 N Main
Lockney, TX 79241

Mailing address

P.O. Box 37
Lockney, TX 79241
Phone (806) 652-3373

Other identifiers 2

IdentifierTypeStateIssuer
126667807MedicaidTX
126667804MedicaidTX

Other names 1

  • COGDELL CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030618000011 TX Part A Provider - Rural Health Clinic 4880504968 1 other NPI on this enrollment
Practice locations: Lockney, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437178357. Details of each certification follow.

Rural health clinic certification: CCN 458838

Legal name
LOCKNEY GENERAL HOSPITAL DISTRICT
Doing business as
COGDELL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 2, 2003
Last certification
Oct 2, 2017
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
320 N Main St
Cogdell Clinic
Lockney, TX 79241-0001
Related CCNs
451337

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 1

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
45D1019934Cogdell Clinic320 N Main Street, Lockney, TX 79241Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mangold Memorial Home Medical Equipment5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lockney General Hospital District Organization, Lockney, TX 5% Or Greater Direct Ownership Interest Apr 28, 2010 100%
Vincent Difranco Individual Corporate DirectorChief Executive Officer Jan 28, 2020
W-2 Managing EmployeeChief Executive Officer Jan 28, 2020
James L Forrest Individual Corporate DirectorChief Financial Officer Aug 30, 2021
W-2 Managing EmployeeChief Financial Officer Aug 30, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
W.J. Mangold Memorial HospitalLockney, TX, CCN 451337 Hospital Operational/Managerial Control Jun 1, 2013
W.J. Mangold Memorial HospitalLockney, TX, CCN 45Z337 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1973
Cogdell Clinic Briscoe CountySilverton, TX, CCN 458875 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1973

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1437178357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 37",
            "city": "LOCKNEY",
            "state": "TX",
            "postal_code": "79241",
            "telephone_number": "806-652-3373",
            "fax_number": "806-652-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN",
            "city": "LOCKNEY",
            "state": "TX",
            "postal_code": "79241",
            "telephone_number": "806-652-3373",
            "fax_number": "806-652-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKNEY GENERAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "DIFRANCO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "806-652-3373"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "00010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126667807",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126667804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COGDELL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COGDELL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lockney, TX

Sources for this page

Verify at the official NPI Registry.