Martin County Hospital District
Organization Active NPI Critical Access Hospital · Stanton, TX
NPI 1679560866 · NPPES record last updated Mar 5, 2026
Key facts
- NPI
- 1679560866
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 100145 (TX)
- Legal business name
- MARTIN COUNTY HOSPITAL DISTRICT
- Practice address
- 600 Interstate 20 East, Building Two
Stanton, TX 79782 - Phone
- (432) 607-3243
- Fax
- (432) 607-3265
- NPI assigned
- Oct 3, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Nancy Cooke
- Title
- Ceo
- Phone
- (432) 607-3200
Owners & managing parties with NPI records 3
-
Pablo C Teveni, M.D
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Facilities with the same owner 1
Practitioners 97
-
Elisa K Brantly, MD
-
Megan Sherree Chandler, RN FNP-C
-
Stephanie Crawford, FNP-C
-
Keith Gist, CRNA
-
Alicia Hernandez, FNP-C
-
Donna Gayle Hernandez, FNP-C
-
William Gage Liesman, M.D.
-
Edward Maurice Lopez, RN, MSN, FNP-BC
-
Lark Michelle Olivas, FNP-C
-
Hima Bindu Parchuri, D.O.
-
Linda Friesen Pierce, MSN, APRN, FNP-C
-
Betty Richardson, NP
-
Brinton Ross, CRNA
-
Ryan Rowland, MD
-
Mark Anthony Salcone, D.O.
-
Nathan Schafer, CRNA
-
Kristine Scott, CRNA
-
Tiffany L Vaught, FNP
-
Abbas A Chamsuddin, M.D.
-
Monica Fowler Hudson, CRNA
Affiliated clinicians 59
-
Kwame Boakye Agyeman, M.D.
-
James H Barnett, MD
-
Sahil Batta, MD
-
Armando Beltran, M.D.
-
Elisa K Brantly, MD
-
Calvin L Cargill, MD
-
Phillip Hyunsuk Chae, M.D.
-
Megan Sherree Chandler, RN FNP-C
-
Anand P Cholia, MD
-
Will E Close, MD
-
Daniel R Copeland, M.D.
-
Stephanie Crawford, FNP-C
-
Christopher N Eisenhauer, M.D, D.C.
-
Abbie Estes, PA-C
-
Keith Gist, CRNA
-
Manoher L Gurru, M.D.
-
Rudy I Haddad, MD
Medicare Care Compare: Hospital
- Listed as
- Martin County Hospital District
- Type
- Critical Access Hospitals
- Ownership
- Government - Hospital District or Authority
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1034426 | Martin County Family Clinic | Certificate of waiver | Dec 1, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX
Rural health clinic certification: CCN 458868
- Legal name
- MARTIN COUNTY HOSPITAL DISTRICT
- Doing business as
- MARTIN COUNTY FAMILY CLINIC AND EXPRESS CARE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- May 3, 2006
- Last certification
- Apr 16, 2019
- Ownership / control type
- Non-profit – church related
- Organization structure
- Government · Non-profit
- Enrollment address
- 600 Interstate 20 East
Building Two
Stanton, TX 79782-0640 - Related CCNs
- 451333
Hospital certification: CCN 451333
- Legal name
- MARTIN COUNTY HOSPITAL DISTRICT
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Aug 1, 2002
- Last certification
- Mar 12, 2025
- Beds
- 18
- Ownership / control type
- Hospital district or authority
- Organization structure
- Other · Non-profit
- Enrollment address
- 600 East Interstate 20
Stanton, TX 79782-0640
Hospital certification: CCN 45Z333
- Legal name
- MARTIN COUNTY HOSPITAL DISTRICT
- Organization structure
- Government · Non-profit
- Enrollment address
- 610 North Saint Peter Street
Stanton, TX 79782-0640
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Tonya Glisan |
Corporate Officer |
Aug 30, 2020 | |
| Corporate Director |
Aug 30, 2020 | ||
| Operational/Managerial Control |
Aug 30, 2020 | ||
| W-2 Managing Employee |
Aug 30, 2020 | ||
| Elizabeth Cervantes |
W-2 Managing Employee |
Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Robert Gaitan |
W-2 Managing Employee |
Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Nancy D Cooke |
5% Or Greater Indirect Ownership Interest | Apr 20, 2020 | |
| Corporate Officer | Apr 20, 2020 | ||
| Corporate Director | Apr 20, 2020 | ||
| Operational/Managerial Control |
Apr 20, 2020 | ||
| Corporate Officer |
Apr 20, 2020 | ||
| Corporate Director |
Apr 20, 2020 | ||
| W-2 Managing Employee |
Apr 20, 2020 | ||
| Operational/Managerial Control | Apr 20, 2020 | ||
| Albert Garza |
Corporate Director | May 1, 2002 | |
| Martin County Hospital District |
Operational/Managerial Control | Jan 1, 1966 | |
| 5% Or Greater Indirect Ownership Interest | Dec 1, 2004 | ||
| Operational/Managerial Control | Dec 1, 2004 | ||
| James W Pardue |
Corporate Director |
Jan 1, 2017 | |
| Cherri Waites |
Corporate Officer |
Apr 1, 2018 | |
| Jerry Cox |
Corporate Director | May 1, 1999 | |
| Tacoma Wells |
W-2 Managing Employee |
Sep 1, 2018 | |
| Bobby R Ramsey |
Corporate Director |
Sep 1, 2016 | |
| W-2 Managing Employee |
Sep 1, 2016 | ||
| Ginger Tunnell |
Corporate Director |
Jan 1, 2017 | |
| Zada Cave |
Corporate Director | May 1, 1999 | |
| Pablo C Teveni |
Corporate Director |
Jan 1, 2017 | |
| Rebecca Brandon |
W-2 Managing Employee |
Jun 9, 2019 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Martin County Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 1, 2018 Aug 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040805001106 | TX | Part B Supplier - Clinic/Group Practice | 8527958552 |
Receives reassigned benefits from 93 practitioners 1 other NPI on this enrollment Practice locations: Stanton, TX |
| O20050201000024 | TX | Part a Provider - Rural Health Clinic | 8527958552 | Practice locations: Stanton, TX |
| O20061104000404 | TX | Part a Provider - Critical Access Hospital | 8527958552 | Practice locations: Stanton, TX |
| O20101210000842 | TX | Part a Provider - Critical Access Hospital | 8527958552 |
Receives reassigned benefits from 3 practitioners Practice locations: Stanton, TX |
National Provider Directory
Locations
600 E Interstate 20
Ste D104
Stanton, TX 79782
600 E Interstate 20
Bldg F
Stanton, TX 79782
600 E Interstate 20
Bldg Two
Stanton, TX 79782
Phone (432) 607-3243
600 E Interstate 20
Ste D101
Stanton, TX 79782
Phone (432) 607-3299
600 E Interstate 20
Ofc
Stanton, TX 79782
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital Clinic/Center | 261QC0050X | |||
| Rural Health Clinic/Center | 261QR1300X | 100145 | TX | |
| Critical Access Hospital | 282NC0060X | 100145 | TX | Yes |
| Ambulance | 341600000X |
Addresses
Primary practice location
600 Interstate 20 East, Building Two
Stanton, TX 79782
Mailing address
PO Box 640
600 Interstate 20 East, Building Two
Stanton, TX 79782-0640
Phone (432) 607-3243
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136145303 | Medicaid | TX | |
| 136145310 | Medicaid | TX | |
| 136145313 | Medicaid | TX | |
| 136145311 | Medicaid | TX |
Other providers in Stanton, TX
- Colton Kidd
- Edward Maurice Lopez
- Martin County Hospital District
- Martin County Hospital District
- Martin County Hospital District
- Nicole Maximowicz
- Larry Webb McWilliams
- Kelsi Marie Miller
- Crystal Adalia Montoya
- Shawndra Dean Moore
All providers in Stanton, TX · Critical Access Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.