NPIMap

Organization Active NPI

Parker County Hospital District

Doing business as Parker County Outreach Program

  • Public Health or Welfare Agency
  • Weatherford, TX
National Provider Identifier
1487952677
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PARKER COUNTY HOSPITAL DISTRICT
Doing business as
Parker County Outreach Program
Practice address
1130 Pecan Dr
Weatherford, TX 76086-5774
Phone
(817) 341-2520
Fax
(817) 599-1241
NPI assigned
Mar 11, 2011
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Mr. Randy Bacus
Title
Ceo
Phone
(817) 341-2520

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1130 Pecan Dr
Weatherford, TX 76086-5774

Mailing address

1130 Pecan Dr
Weatherford, TX 76086-5774
Phone (817) 341-2520

Other names 1

  • Parker County Outreach Program Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110825000416 TX Part B Supplier - Mass Immunization (Roster Biller Only) 0840269163 Practice locations: Weatherford, TX

Other NPIs with the same Medicare PAC ID 7

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
45D2183744Parker County Hospital District Outreach Program1130 Pecan St, Weatherford, TX 76086Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Campbell Hospital9 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.

Locations

1115 Pecan Dr
Weatherford, TX 76086
Phone (817) 458-3254

1501 Texas Dr
Weatherford, TX 76086

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Hilltop Park Rehabilitation and Healthcare CenterWeatherford, TX, CCN 675988 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 15, 2015
Willow Park Rehabilitation and Healthcare CenterWillow Park, TX, CCN 676365 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2026
College Park Rehabilitation and Care CenterWeatherford, TX, CCN 676212 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 15, 2025
Matlock Place Health & Rehabilitation CenterArlington, TX, CCN 676141 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2014
Springtown Park Rehabilitation and Care CenterSpringtown, TX, CCN 676499 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2024
Campbell ClinicWeatherford, TX, CCN 673902 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 4, 1994

Owned or controlled facilities with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1487952677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PECAN DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865774",
            "telephone_number": "817-341-2520",
            "fax_number": "817-599-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PECAN DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865774",
            "telephone_number": "817-341-2520",
            "fax_number": "817-599-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "BACUS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-341-2520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parker County Outreach Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parker County Outreach Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.