NPIMap

Organization Active NPI

Prime Healthcare Services Pampa LLC

Doing business as Borger

  • Rural Health Clinic/Center
  • Borger, TX
National Provider Identifier
1508743113
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PRIME HEALTHCARE SERVICES PAMPA LLC
Doing business as
Borger
Borger Health Clinic
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
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

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

Specialties & licenses 1

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

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 2

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

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508743113. Details of each certification follow.

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
LLCNon-profit
Enrollment address
503 W 1St St
Ste a
Borger, TX 79007-4001
Related CCNs
451398

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

Other NPIs with the same Medicare PAC ID 3

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
45D2328534Borger Health Clinic503 West 1St Street, Ste a, Borger, TX 79007Certificate of waiverAug 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Services Pampa LLC4 organizations share this tax ID, including this one

Other organizations with this 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.

Ownership & related parties

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 OfficerChief Financial Officer Jun 1, 2020
W-2 Managing EmployeeChief Financial Officer Jun 1, 2020
Christopher Doan Individual Corporate OfficerManaging Associate General Counsel Mar 30, 2014
W-2 Managing EmployeeManaging 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%

Owners & managing parties with NPI records 1

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

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

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1508743113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W 1ST ST STE A",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074001",
            "telephone_number": "806-591-2270",
            "fax_number": "806-669-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W 1ST ST STE A",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074001",
            "telephone_number": "806-591-2270",
            "fax_number": "806-669-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES PAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "310-259-4706"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borger",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Borger Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Borger, TX

Sources for this page

Verify at the official NPI Registry.