NPIMap

Organization Active NPI

Dallam-Hartley Counties Hospital District

Doing business as Coon Memorial Hospital

  • Critical Access Hospital
  • Dalhart, TX
National Provider Identifier
1639176456
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
000262 Issued in TX
Legal business name
DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Doing business as
Coon Memorial Hospital
Practice address
1411 Denver Ave
Dalhart, TX 79022
Phone
(806) 244-4571
Fax
(806) 244-5013
NPI assigned
Jul 7, 2005
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Ms. Melissa Bundy
Title
Ceo
Phone
(806) 244-9267

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 000262 TX Primary
Skilled Nursing Facility 314000000X 000262 TX

Addresses

Primary practice location

1411 Denver Ave
Dalhart, TX 79022

Mailing address

PO Box 2014
Dalhart, TX 79022-6014
Phone (806) 244-4571

Other identifiers 13

IdentifierTypeStateIssuer
00N39TOtherTXBCBS
1308264-04MedicaidTX
0007577-01MedicaidTX
103144100OtherFIRST CARE HOSPITAL
1308264-02MedicaidTX
1308264-01MedicaidTX
131941100OtherFIRST CARE PROF FEES
HH0041OtherBCBS
1308264-07MedicaidTX
AMB527OtherBCBS AMBULANCE
00C62VOtherTXBCBS CRNA GROUP
130826401OtherSUPERIOR PROF FEES
130826407OtherSUPERIOR HEALTH HOSP

Other names 1

  • Coon Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090429000575 TX Part A Provider - Critical Access Hospital 0143112805 Receives reassigned benefits from 25 practitioners
Practice locations: Dalhart, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639176456. Details of each certification follow.

Hospital certification: CCN 451331

Legal name
DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Doing business as
COON MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2002
Last certification
Jan 28, 2025
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
1411 Denver Avenue
Coon Memorial Hospital
Dalhart, TX 79022-4809

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Coon Memorial HospitalCCN 451331 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Dalhart EMS9 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.

Locations

204 E 16th St
Ste A
Dalhart, TX 79022
Phone (806) 244-4753

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Dallam-Hartley Counties Hospital District Organization, Dalhart, TX Operational/Managerial Control Apr 1, 2002
Mark Miller Individual Corporate DirectorBoard Member Jul 1, 2016
Brad P Riley Individual Corporate DirectorBoard Member Apr 22, 2021
Sharon D Hunt Individual Contracted Managing EmployeeInterim Chief Financial Officer Jun 1, 2024
Corporate DirectorInterim Chief Financial Officer Jun 1, 2024
Shellie McNabb Individual Corporate DirectorBoard President May 9, 2022
Jennifer McDaniel Individual Corporate DirectorBoard Member Mar 1, 2025
Kevin Caddell Individual Corporate DirectorVice President Sep 1, 2013
Michael Diller Individual Corporate DirectorBoard Member Apr 20, 2020
Sarah Crone Individual Corporate OfficerAdministrator Mar 25, 2024
W-2 Managing EmployeeAd; Mar 25, 2024
Melissa Bundy Individual Corporate DirectorChief Executive Officer Jun 1, 2024
W-2 Managing EmployeeChief Executive Officer Jun 1, 2024
Operational/Managerial ControlChief Executive Officer Jun 1, 2024
Nichole Crosby Individual W-2 Managing EmployeeExecutive Administrative Assistant Jan 1, 2024

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Coon Memorial HospitalDalhart, TX, CCN 45Z331 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 1970
Apr 1, 2002
Coon Memorial Hospital Home CareDalhart, TX, CCN 671531 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 29, 2005
Dalhart Family Medicine ClinicDalhart, TX, CCN 458816 Rural health clinic Operational/Managerial Control Mar 1, 2010
High Country Community Rural Health ClinicDalhart, TX, CCN 673409 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 27, 2008
Jun 27, 2008

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 25

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 25

Affiliated clinicians 53

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1639176456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2014",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790226014",
            "telephone_number": "806-244-4571",
            "fax_number": "806-244-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 DENVER AVE",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "79022",
            "telephone_number": "806-244-4571",
            "fax_number": "806-244-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-244-9267",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "000262",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "000262",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00N39T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308264-04",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007577-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE HOSPITAL",
            "identifier": "103144100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308264-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308264-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE PROF FEES",
            "identifier": "131941100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH0041",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308264-07",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AMBULANCE",
            "identifier": "AMB527",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CRNA GROUP",
            "identifier": "00C62V",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR PROF FEES",
            "identifier": "130826401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH HOSP",
            "identifier": "130826407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coon Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coon Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dalhart, TX

Sources for this page

Verify at the official NPI Registry.