NPIMap

Organization Active NPI

Fisher County Hospital District

  • Land Ambulance
  • Rotan, TX
National Provider Identifier
1497878524
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
076002 Issued in TX
Legal business name
FISHER COUNTY HOSPITAL DISTRICT
Practice address
774 State Highway 70 N
Rotan, TX 79546-6918
Phone
(325) 735-2256
Fax
(325) 735-3070
NPI assigned
Apr 6, 2007
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Mrs. Carey Leanne Martinez
Title
Ceo
Phone
(325) 735-2256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 076002 TX Primary

Addresses

Primary practice location

774 State Highway 70 N
Rotan, TX 79546-6918

Mailing address

PO Box F
Rotan, TX 79546-0485
Phone (325) 735-2256

Other identifiers 2

IdentifierTypeStateIssuer
103634100OtherTXFIRSTCARE
120988403MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200326000216 TX Part B Supplier - Ambulance Service Supplier 2163311465 Practice locations: Rotan, TX

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Fisher County Hospital District9 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.

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Clearfork Health CenterRotan, TX, CCN 458779 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 20, 1998

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 104

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.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1497878524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX F",
            "city": "ROTAN",
            "state": "TX",
            "postal_code": "795460485",
            "telephone_number": "325-735-2256",
            "fax_number": "325-735-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 STATE HIGHWAY 70 N",
            "city": "ROTAN",
            "state": "TX",
            "postal_code": "795466918",
            "telephone_number": "325-735-2256",
            "fax_number": "325-735-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-735-2256",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "076002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "103634100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120988403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rotan, TX

Sources for this page

Verify at the official NPI Registry.