County of Yoakum

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

NPI 1619968054 · NPPES record last updated Sep 3, 2025

Key facts

NPI
1619968054
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
458810 (TX)
Legal business name
COUNTY OF YOAKUM
Practice address
602 St Hwy 214
Plains, TX 79355-0936
Phone
(806) 456-6365
Fax
(806) 456-2057
NPI assigned
Nov 3, 2005
Organization subpart
Yes
Parent organization (as reported)
COUNTY OF YOAKUM

Authorized official

Name
Suann Parrish
Title
Interim Ceo, Cfo
Phone
(806) 639-8254

Owners & managing parties with NPI records 5

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

Owned or controlled facilities with NPI records 3

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 6

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

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

Facilities with the same owner 1

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

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Rural health clinic certification: CCN 458810

Legal name
COUNTY OF YOAKUM
Doing business as
PLAINS CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 1, 2000
Last certification
Apr 25, 2018
Ownership / control type
Non-profit – church related
Organization structure
Government · Non-profit
Enrollment address
602 Hwy 214
Plains, TX 79355-0936
Related CCNs
451308

All disclosed owners & managing parties 4

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

NameRoleSinceShare
County of Yoakum
Organization · Plains, TX
Non-profit
5% Or Greater Direct Ownership Interest Mar 1, 2000 100%
Suann S Parrish
Individual
Corporate Officer
Cfo, Interim Ceo
Mar 1, 2010 100%
Christine Dougherty
Individual
W-2 Managing Employee
Contract / Credentialing MGR
Aug 18, 2025
Todd Carrillo
Individual
Corporate Officer
Coo
Mar 17, 2025

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Yoakum County Hospital
Denver City, TX · CCN 451308
Hospital Other Jun 10, 2013
Shinnery Oaks Community
Denver City, TX · CCN 676259
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Direct Ownership Interest (100%)
Jul 1, 2010
Jul 1, 2010
Jul 1, 2010

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100514000565 TX Part a Provider - Rural Health Clinic 3173431491 Practice locations: Plains, TX

National Provider Directory

Tax ID family
County of Yoakum (7 organizations share this tax ID)
Part of
County of Yoakum

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 458810 TX Yes

Addresses

Primary practice location

602 St Hwy 214
Plains, TX 79355-0936

Mailing address

PO Box 936
Plains, TX 79355-0936
Phone (806) 456-6365

Other identifiers

IdentifierTypeStateIssuer
063623501MedicaidTX
0075DJOtherTXBLUE CROSS/BLUE SHIELD

Other names

  • Plains Clinic Doing business as

Other providers in Plains, TX

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

Sources for this page

Verify at the official NPI Registry.