Hemphill County Hospital District
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Canadian, TX
NPI 1477593135 · NPPES record last updated May 5, 2010
Key facts
- NPI
- 1477593135
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 457 (TX)
- Legal business name
- HEMPHILL COUNTY HOSPITAL DISTRICT
- Practice address
- 1020 S 4TH St
Canadian, TX 79014-3315 - Phone
- (806) 323-6422
- Fax
- (806) 323-9157
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Christy Francis
- Title
- Cfo
- Phone
- (806) 323-6422
Owners & managing parties with NPI records 7
Owned or controlled facilities with NPI records 6
Other NPIs with the same Medicare PAC ID 7
Related certifications (CCN) 1
Facilities with the same owner 6
Practitioners 12
-
Tasha Kate Butler, APRN-CNP
-
George A Cook, MD
-
Cody Culwell, MD
-
Tina Layne Godino, LCSW
-
Anna O'Melia Isaacs, M.D.
-
Summer Denise Parsons, APRN FNP-BC
-
Tiffany Helyn Potter, FNP
-
Morgan Bryn Rader, APRN
-
Ricky Allen Siewert, D.O
-
Beverly Stephenson, FNP-C
-
Gary A. Frederick, M.D.
-
Wan Yee Kong, M.D
Affiliated clinicians 3
-
George A Cook, MD
-
Anna O'Melia Isaacs, M.D.
-
Bill Calvin Isaacs, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 67Z301
- Legal name
- HEMPHILL COUNTY HOSPITAL DISTRICT
- Doing business as
- HEMPHILL COUNTY HOSPITAL
- Organization structure
- Other · Non-profit
- Enrollment address
- 1020 S 4TH St
Canadian, TX 79014-3315
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Hemphill County Hospital District |
5% Or Greater Direct Ownership Interest | Mar 17, 2023 | 100% |
| Operational/Managerial Control | Mar 17, 2023 | ||
| Kelsey Jo Haley |
Corporate Officer |
Jan 1, 2024 | |
| Corporate Director |
Jan 1, 2024 | ||
| W-2 Managing Employee |
Jan 1, 2024 | ||
| Jennifer Cox |
Contracted Managing Employee |
Mar 17, 2023 | |
| Corporate Director |
Mar 17, 2023 | ||
| Operational/Managerial Control |
Mar 17, 2023 |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Hemphill County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 17, 2023 Mar 17, 2023 |
| Windflower Health Center |
Skilled nursing facility | Operational/Managerial Control | Feb 28, 2015 |
| Hemphill County Hospital Home Health Agency |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 1, 2012 Mar 1, 2012 |
| Hemphill County Hospice |
Hospice | Operational/Managerial Control (100%) | Feb 20, 2012 |
| Canadian Family Physicians |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 1, 2014 Jun 1, 2014 |
| Harvester Family Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2016 Jan 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230330000422 | TX | Part a Provider - Critical Access Hospital | 4587652078 | Practice locations: Canadian, TX |
National Provider Directory
Locations
1020 S 4th St
Canadian, TX 79014
Phone (806) 323-6422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 457 | TX | Yes |
Addresses
Primary practice location
1020 S 4TH St
Canadian, TX 79014-3315
Mailing address
1020 S 4TH St
Canadian, TX 79014-3315
Phone (806) 323-6422
Other providers in Canadian, TX
- Dee Ann Hare
- Hemphill Co. Hospital District Dba Mesa View Assisted Living
- Hemphill County Hospital District
- Hemphill County Hospital District
- Hemphill County Hospital District
- Hemphill County Hospital District
- Hemphill County Hospital District
- Hemphill County Hospital District
- Hemphill County Hospital District
- Hemphill County Hospital District
All providers in Canadian, TX · Medicare Defined Swing Bed Hospital Unit in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.