NPIMap

Organization Active NPI

Palo Pinto County Hospital District

Doing business as Palo Pinto General Home Health

  • Home Health Agency
  • Mineral Wells, TX
National Provider Identifier
1477539039
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
001728 Issued in TX
Legal business name
PALO PINTO COUNTY HOSPITAL DISTRICT
Doing business as
Palo Pinto General Home Health
Practice address
218 SW 26TH Ave
Mineral Wells, TX 76067-8248
Phone
(940) 325-4471
Fax
(940) 325-2981
NPI assigned
Dec 15, 2005
Last updated
Oct 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Mr. Harris W Brooks
Title
Chief Executive Officer
Phone
(940) 328-6403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 001728 TX Primary

Addresses

Primary practice location

218 SW 26TH Ave
Mineral Wells, TX 76067-8248

Mailing address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 328-6404

Other identifiers 1

IdentifierTypeStateIssuer
138950408MedicaidTX

Other names 1

  • Palo Pinto General Home Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1477539039",
    "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": "940-328-6404",
            "fax_number": "940-328-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SW 26TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678248",
            "telephone_number": "940-325-4471",
            "fax_number": "940-325-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO PINTO COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "940-328-6403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "001728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138950408",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Pinto General Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.