NPIMap

Organization Active NPI

Dallam-Hartley Counties Hospital District

Doing business as High Country Community Rural Health Clinic

  • Rural Health Clinic/Center
  • Dalhart, TX
National Provider Identifier
1467799262
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Doing business as
High Country Community Rural Health Clinic
Practice address
320 E Texas Blvd
Dalhart, TX 79022
Phone
(806) 249-8324
Fax
(206) 249-8412
NPI assigned
Jan 14, 2013
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Ms. Melissa Bundy
Title
Ceo
Phone
(806) 244-9267

Specialties & licenses 1

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

Addresses

Primary practice location

320 E Texas Blvd
Dalhart, TX 79022

Mailing address

320 E Texas Blvd
Dalhart, TX 79022-4300
Phone (806) 249-8324

Other practice location 1

201 E Texas Blvd
Dalhart, TX 79022-4321
Phone (806) 249-8324

Other names 1

  • High Country Community Rural Health 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
O20040428001365 TX Part B Supplier - Clinic/Group Practice 0143112805 Receives reassigned benefits from 70 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dalhart, TX
O20130314000411 TX Part A Provider - Rural Health Clinic 0143112805 Practice locations: Dalhart, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467799262. Details of each certification follow.

Rural health clinic certification: CCN 673409

Legal name
DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Doing business as
HIGH COUNTRY COMMUNITY RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2013
Last certification
May 30, 2018
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
320 E Texas Blvd
Dalhart, TX 79022-4300
Related CCNs
451331

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

Other NPIs with the same Medicare PAC ID 5

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
45D0885072High Country Community Rural Health320 Texas Boulevard, Dalhart, TX 79022Provider-performed microscopyJul 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Dalhart EMS9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Dallam-Hartley Counties Hospital District Organization, Dalhart, TX 5% Or Greater Direct Ownership Interest Jun 27, 2008 100%
Operational/Managerial Control Jun 27, 2008 100%
Mark Miller Individual Corporate DirectorBoard Member Jul 1, 2016
Brad P Riley Individual Corporate DirectorBoard Member Apr 22, 2021
Brad H Green Individual Corporate DirectorBoard Member Apr 28, 2022
Sharon D Hunt Individual Contracted Managing EmployeeInterim Chief Financial Officer Jun 1, 2024
Corporate DirectorInterim Chief Financial Officer Jun 1, 2024
Operational/Managerial ControlInterim Chief Financial Officer Jun 1, 2024
Shellie McNabb Individual Corporate DirectorBoard Member May 9, 2022
Kevin Caddell Individual Corporate DirectorVice President Sep 1, 2013
Michael Diller Individual Corporate DirectorBoard Member Apr 20, 2020
Melissa Bundy Individual Corporate OfficerChief Executive Officer Jun 1, 2024 100%
W-2 Managing EmployeeChief Executive Officer Jun 1, 2024
Operational/Managerial ControlChief Exectuive Officer Jun 1, 2024
Stephanie Turner Individual Contracted Managing EmployeeInterim Business Office Director Aug 6, 2024
Corporate DirectorInterim Business Office Director Aug 6, 2024
Sieto Mellema Individual Corporate DirectorBoard Member Jan 1, 2013
Kierra Gonzales Individual W-2 Managing EmployeeBusiness Office Coordinator Aug 5, 2024
Nichole Crosby Individual W-2 Managing EmployeeExecutive Administrative Assistant Jan 1, 2024

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Coon Memorial HospitalDalhart, TX, CCN 451331 Hospital Operational/Managerial Control Apr 1, 2002
Coon Memorial HospitalDalhart, TX, CCN 45Z331 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 1970
Apr 1, 2002
Coon Memorial Hospital Home CareDalhart, TX, CCN 671531 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 29, 2005
Dalhart Family Medicine ClinicDalhart, TX, CCN 458816 Rural health clinic Operational/Managerial Control Mar 1, 2010

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1467799262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E TEXAS BLVD",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224300",
            "telephone_number": "806-249-8324",
            "fax_number": "206-249-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E TEXAS BLVD",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "79022",
            "telephone_number": "806-249-8324",
            "fax_number": "206-249-8412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Texas Blvd",
            "address_purpose": "LOCATION",
            "city": "Dalhart",
            "state": "TX",
            "postal_code": "790224321",
            "country_code": "US",
            "telephone_number": "806-249-8324",
            "fax_number": "206-249-8412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-244-9267",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Country Community Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dalhart, TX

Sources for this page

Verify at the official NPI Registry.