Parker County Hospital District
Organization Active NPI Public Health or Welfare Agency · Weatherford, TX
NPI 1487952677 · NPPES record last updated Nov 25, 2025
Key facts
- NPI
- 1487952677
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- PARKER COUNTY HOSPITAL DISTRICT
- Practice address
- 1130 Pecan Dr
Weatherford, TX 76086-5774 - Phone
- (817) 341-2520
- Fax
- (817) 599-1241
- NPI assigned
- Mar 11, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Randy Bacus
- Title
- Ceo
- Phone
- (817) 341-2520
Owned or controlled facilities with NPI records 6
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 8
Practitioners 11
-
Erika Bean, FNP
-
Holly Beth Bruno, FNP-C
-
Jose L De Leon, P.A.-C.
-
Whitney Huffaker, NP
-
Lauren Rexroat, FNP-BC
-
Mary Grace Arce Vaughan, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2183744 | Parker County Hospital District Outreach Program | Certificate of waiver | May 7, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Hilltop Park Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 15, 2015 |
| Willow Park Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| College Park Rehabilitation and Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 15, 2025 |
| Matlock Place Health & Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2014 |
| Springtown Park Rehabilitation and Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2024 |
| Campbell Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Oct 4, 1994 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110825000416 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 0840269163 | Practice locations: Weatherford, TX |
National Provider Directory
- Tax ID family
- Parker Cnty Hosp District
Locations
1115 Pecan Dr
Weatherford, TX 76086
Phone (817) 458-3254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician |
2083P0901X | |||
| General Practice Physician |
208D00000X | |||
| Public Health or Welfare Agency | 251K00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH0853 | Other | TX | PTAN |
Other names
- Parker County Outreach Program
Other providers in Weatherford, TX
- Palo Pinto County Hospital District
- Skyla Pantoja
- Anum Paracha
- Parker County Hospital District
- Parker County Hospital District
- Parker County Hospital District
- Parker County Hospital District
- Parker County Hospital District
- Parker County Imaging Center LLC
- Parker Emergency Medicine Associates PA
All providers in Weatherford, TX · Public Health or Welfare Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2025. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.