Organization Active NPI

Swisher Memorial Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Tulia, TX
National Provider Identifier
1669673455
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
SWISHER MEMORIAL HOSPITAL DISTRICT
Practice address
539 SE 2ND St
Tulia, TX 79088-0808
Phone
(806) 995-3581
Fax
(806) 995-8283
NPI assigned
May 30, 2007
Last updated
Apr 17, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SWISHER MEMORIAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Mr. James E Koulovatos
Title
Chief Executive Officer
Phone
(806) 995-8201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

539 SE 2ND St
Tulia, TX 79088-0808

Mailing address

PO Box 808
Tulia, TX 79088-0808
Phone (806) 995-3581

Other identifiers 1

IdentifierTypeStateIssuer
001016037MedicaidTX

Other names 1

  • Swingbed Other name

National Provider Directory

National Provider Directory
Part of
Swisher Memorial Hospital

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1669673455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "TULIA",
            "state": "TX",
            "postal_code": "790880808",
            "telephone_number": "806-995-3581",
            "fax_number": "806-995-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 SE 2ND ST",
            "city": "TULIA",
            "state": "TX",
            "postal_code": "790880808",
            "telephone_number": "806-995-3581",
            "fax_number": "806-995-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWISHER MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SWISHER MEMORIAL HOSPITAL DISTRICT",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "KOULOVATOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "806-995-8201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016037",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swingbed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tulia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.