NPIMap

Organization Active NPI

Kell West Regional Hospital LLC

  • General Acute Care Hospital
  • Wichita Falls, TX
National Provider Identifier
1669480323
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
006814 Issued in TX
Legal business name
KELL WEST REGIONAL HOSPITAL LLC
Practice address
5420 Kell Blvd
Wichita Falls, TX 76310-1610
Phone
(940) 692-5888
Fax
(940) 692-0915
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Jerry K Myers, MDNPI 1851399505
Title
Ceo
Phone
(940) 692-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 006814 TX Primary

Addresses

Primary practice location

5420 Kell Blvd
Wichita Falls, TX 76310-1610

Mailing address

5420 Kell Blvd
Wichita Falls, TX 76310-1610
Phone (940) 692-5888

Other identifiers 2

IdentifierTypeStateIssuer
HH0966OtherTXBLUE CROSS
168648701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408000267 TX Part B Supplier - Clinic/Group Practice 2365435898 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita Falls, TX

Hospital certification: CCN 450827

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KELL WEST REGIONAL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Dec 2, 2025
Provider type (POS)
Hospital – Short-term
Participating since
Feb 24, 1999
Last certification
Dec 18, 2019
Beds
41
Ownership / control type
Private (for profit)
Facility address
5420 Kell West Boulevard
Wichita Falls, TX 76310

National Provider Directory

National Provider Directory

Locations

5500 Kell Blvd
Ste 500
Wichita Falls, TX 76310
Phone (940) 264-2273

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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

Affiliated clinicians 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1669480323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 KELL BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101610",
            "telephone_number": "940-692-5888",
            "fax_number": "940-692-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 KELL BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101610",
            "telephone_number": "940-692-5888",
            "fax_number": "940-692-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELL WEST REGIONAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-692-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "006814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH0966",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168648701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.