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Prime Healthcare Services Pampa LLC

Organization Active NPI Rural Health Clinic/Center · Borger, TX

NPI 1508743113 · NPPES record last updated Aug 18, 2025

Key facts

NPI
1508743113
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
PRIME HEALTHCARE SERVICES PAMPA LLC
Practice address
503 W 1St St Ste a
Borger, TX 79007-4001
Phone
(806) 591-2270
Fax
(806) 669-1491
NPI assigned
Aug 18, 2025
Organization subpart
No

Authorized official

Name
Christopher Doan
Title
Managing Associate General Counsel
Phone
(310) 259-4706

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2328534Borger Health Clinic
503 West 1St Street, Ste a, Borger, TX 79007		Certificate of waiverAug 11, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Rural health clinic certification: CCN 678579

Legal name
PRIME HEALTHCARE SERVICES PAMPA LLC
Doing business as
BORGER HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 20, 2026
Last certification
May 20, 2026
Ownership / control type
2B
Organization structure
LLC · Non-profit
Enrollment address
503 W 1St St
Ste a
Borger, TX 79007-4001
Related CCNs
451398

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven Aleman
Individual 		Corporate Officer
Chief Financial Officer		 Jun 1, 2020
W-2 Managing Employee
Chief Financial Officer		 Jun 1, 2020
Christopher Doan
Individual 		Corporate Officer
Managing Associate General Counsel		 Mar 30, 2014
W-2 Managing Employee
Managing Associate General Counsel		 Mar 30, 2014
Prime Healthcare Foundation Inc
Organization · Ontario, CA
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Jan 1, 2014 100%

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Pampa Medical Group
Pampa, TX · CCN 673492		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 17, 2009
Mar 30, 2014

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260107004578 TX Part a Provider - Rural Health Clinic 5092979716 Practice locations: Borger, TX

National Provider Directory

Tax ID family
Prime Healthcare Services Pampa LLC (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

503 W 1St St Ste a
Borger, TX 79007-4001

Mailing address

503 W 1St St Ste a
Borger, TX 79007-4001
Phone (806) 591-2270

Other names

  • Borger Doing business as
  • Borger Health Clinic Doing business as

Other providers in Borger, TX

All providers in Borger, TX · Rural Health Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.