NPIMap

Organization Active NPI

Palo Pinto County Hospital District

  • Rural Health Clinic/Center
  • Mineral Wells, TX
National Provider Identifier
1689659765
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
34 Issued in TX
Legal business name
PALO PINTO COUNTY HOSPITAL DISTRICT
Practice address
202 SW 25TH Ave
Suite 300
Mineral Wells, TX 76067
Phone
(940) 328-6521
Fax
(940) 328-7501
NPI assigned
Dec 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Ross Korkmas
Title
Ceo
Phone
(940) 325-7891

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X TX
Rural Health Clinic/Center 261QR1300X 34 TX Primary

Addresses

Primary practice location

202 SW 25TH Ave
Suite 300
Mineral Wells, TX 76067

Mailing address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 328-6521

Other identifiers 2

IdentifierTypeStateIssuer
111683204MedicaidTX
111683203MedicaidTX

Other names 1

  • Community Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051212000118 TX Part A Provider - Rural Health Clinic 5890602759 Practice locations: Mineral Wells, TX

Rural health clinic certification: CCN 458653

Legal name
PALO PINTO COUNTY HOSPITAL DISTRICT
Doing business as
COMMUNITY CARE CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 11, 1995
Last certification
Jul 16, 2018
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
202 SW 25TH Ave
Suite 300
Mineral Wells, TX 76067-8242
Related CCNs
450565

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

Other NPIs with the same Medicare PAC ID 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Palo Pinto Hospital District Community Clinic26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

202 SW 25th Ave
Ste 1300
Mineral Wells, TX 76067
Phone (940) 328-7507

Ownership & related parties

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
Ross a Korkmas Individual Corporate OfficerChief Executive Officer Aug 6, 2019
W-2 Managing EmployeeChief Executive Officer Aug 6, 2019
Palo Pinto County Hospital District Organization, Mineral Wells, TX Non-profit Operational/Managerial Control Jan 1, 1990 100%
George Thomas Individual Corporate DirectorMedical Director Sep 1, 2017
Douglas Selsor Individual Corporate OfficerCfo May 19, 2025
W-2 Managing EmployeeCfo May 19, 2025

Owners & managing parties with NPI records 17

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

View all 17

All facility ownership & control disclosures 13

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

FacilityTypeRoleSince
Palo Pinto General HospitalMineral Wells, TX, CCN 450565 Hospital Operational/Managerial Control Feb 7, 2007
Palo Pinto General HospitalMineral Wells, TX, CCN 45U565 Hospital Operational/Managerial Control Jun 13, 1968
White Settlement Nursing CenterWhite Settlement, TX, CCN 455475 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Wedgewood Nursing HomeFort Worth, TX, CCN 455572 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Santa Fe Health & Rehabilitation CenterWeatherford, TX, CCN 455957 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Palo Pinto Nursing CenterMineral Wells, TX, CCN 455961 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Clyde Nursing CenterClyde, TX, CCN 675038 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Benbrook Nursing and Rehabilitation CenterBenbrook, TX, CCN 675906 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014
Heritage House at Keller Rehab and NursingKeller, TX, CCN 675153 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Windcrest Health & RehabilitationAbilene, TX, CCN 676219 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Mineral Wells Family HealthMineral Wells, TX, CCN 458832 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2003
Gordon Family HealthGordon, TX, CCN 458548 Rural health clinic Operational/Managerial Control (100%) Sep 1, 1994
Santo Family HealthSanto, TX, CCN 673416 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012

Owned or controlled facilities with NPI records 13

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

View all 13

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1689659765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-328-6521",
            "fax_number": "940-328-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE",
            "address_2": "SUITE 300",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "76067",
            "telephone_number": "940-328-6521",
            "fax_number": "940-328-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO PINTO COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "KORKMAS",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-325-7891"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "34",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111683204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111683203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.