Organization Active NPI

Hardeman County Memorial Hospital LLC

  • Rural Health Clinic/Center
  • Quanah, TX
National Provider Identifier
1578891297
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
000102 Issued in TX
Legal business name
HARDEMAN COUNTY MEMORIAL HOSPITAL LLC
Practice address
402 Mercer St
Quanah, TX 79252-4026
Phone
(940) 663-2795
Fax
(940) 663-5149
NPI assigned
Nov 19, 2009
Organization subpart
Yes
Parent organization
CRITICAL ACCESS HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Mr. Charles Richard Slaton
Title
President Ceo
Phone
(940) 663-5149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 000102 TX Primary

Addresses

Primary practice location

402 Mercer St
Quanah, TX 79252-4026

Mailing address

402 Mercer St
Quanah, TX 79252-4026
Phone (940) 663-2795

Other identifiers 1

IdentifierTypeStateIssuer
458848OtherTXRURAL HEALTH CLINIC - FOARD

Other names 1

  • Hardeman County Memorial Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hardeman County Memorial Hospital4 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.

Locations

402 Mercer St
Quanah, TX 79252
Phone (940) 663-2795

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1578891297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MERCER ST",
            "city": "QUANAH",
            "state": "TX",
            "postal_code": "792524026",
            "telephone_number": "940-663-2795",
            "fax_number": "940-663-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MERCER ST",
            "city": "QUANAH",
            "state": "TX",
            "postal_code": "792524026",
            "telephone_number": "940-663-2795",
            "fax_number": "940-663-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDEMAN COUNTY MEMORIAL HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRITICAL ACCESS HEALTHCARE LLC",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "SLATON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "940-663-5149",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "000102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH CLINIC - FOARD",
            "identifier": "458848",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hardeman County Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quanah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.