NPIMap

Organization Active NPI

Seminole Hospital District of Gaines County Texas

Doing business as Seminole Family Medical Clinic

  • Rural Health Clinic/Center
  • Seminole, TX
National Provider Identifier
1467879569
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS
Doing business as
Seminole Family Medical Clinic
Practice address
209 NW 8TH St
Seminole, TX 79360-3447
Phone
(432) 758-5811
NPI assigned
Mar 26, 2014
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Maegen Garner
Title
Coo
Phone
(432) 758-4814

Specialties & licenses 1

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

Addresses

Primary practice location

209 NW 8TH St
Seminole, TX 79360-3447

Mailing address

209 NW 8TH St
Seminole, TX 79360-3447
Phone (432) 758-1155

Other identifiers 1

IdentifierTypeStateIssuer
094121303MedicaidTX

Other names 1

  • Seminole Family Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140701001664 TX Part A Provider - Rural Health Clinic 2668382516 Practice locations: Seminole, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467879569. Details of each certification follow.

Rural health clinic certification: CCN 673435

Legal name
SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS
Doing business as
SEMINOLE FAMILY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 18, 2015
Last certification
Jul 13, 2018
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
209 NW 8TH St
Seminole, TX 79360-3447
Related CCNs
451358

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

Other NPIs with the same Medicare PAC ID 2

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

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
45D2075161Seminole Family Medical Clinic209 NW 8TH Street, Seminole, TX 79360Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital Clini4 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

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Peter Guenther Individual Corporate DirectorBoard Member Jan 1, 2023
Josie King Individual Corporate DirectorBoard Member Jun 11, 2019
Brittany Davis Individual Corporate OfficerController Jan 1, 2024
Corporate DirectorController Jan 1, 2024
W-2 Managing EmployeeController Jan 1, 2024
Maegen Garner Individual Corporate OfficerCeo Jan 1, 2023
Corporate DirectorCeo Jan 1, 2023
W-2 Managing EmployeeCeo Jan 1, 2023
Seminole Hospital District of Gaines County Texas Organization, Seminole, TX 5% Or Greater Direct Ownership Interest May 1, 2014 100%
Tonya Guffey Individual Corporate OfficerCno Jan 1, 2023
Corporate DirectorCno Jan 1, 2023
W-2 Managing EmployeeCno Jan 1, 2023
Quintin Garner Individual Corporate DirectorBoard Member Jan 1, 2024
Jay Youngblood Individual Corporate DirectorBoard President Jan 1, 2023
Angela Carter Individual Corporate DirectorBoard Member Jan 1, 2024
Lance Lovelady Individual Corporate DirectorBoard Vice President Jan 1, 2023

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Memorial HospitalSeminole, TX, CCN 451358 Hospital 5% Or Greater Direct Ownership Interest (100%) May 15, 2008
Memorial HospitalSeminole, TX, CCN 45Z358 Hospital 5% Or Greater Direct Ownership Interest (100%) May 15, 2008

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1467879569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NW 8TH ST",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603447",
            "telephone_number": "432-758-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NW 8TH ST",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603447",
            "telephone_number": "432-758-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "MAEGEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "432-758-4814"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094121303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seminole Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seminole, TX

Sources for this page

Verify at the official NPI Registry.