NPIMap

Organization Active NPI

McCamey County Hospital District

  • Family Medicine Physician
  • McCamey, TX
National Provider Identifier
1689899072
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00DT94 Issued in TX
Legal business name
MCCAMEY COUNTY HOSPITAL DISTRICT
Practice address
2500 S Hwy 305
McCamey, TX 79752
Phone
(432) 652-8626
Fax
(432) 652-4008
NPI assigned
Apr 13, 2007
Last updated
Nov 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Ms. Judith A Gulihur
Title
Cfo
Phone
(432) 652-8626

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 00DT94 TX
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 00DT94 TX Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 00DT94 TX
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 00DT94 TX
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 00DT94 TX

Addresses

Primary practice location

2500 S Hwy 305
McCamey, TX 79752

Mailing address

PO Box 1200
McCamey, TX 79752-1200
Phone (432) 652-8626

Other identifiers 6

IdentifierTypeStateIssuer
122439OtherTXSUPERIOR-PHYSICIAN
082242101MedicaidTX
DB7838OtherTXPALMETTO-CARDIOLOGY PHYS
00DT94OtherTXBCBS PHYSICIAN
104613100OtherTXFIRST CARE-HOSPITAL PHYS
CS4207OtherTXPALMETTO-HOSPITAL PHYS

Other names 1

  • McCamey Hospital Physician Grp Practice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000901 TX Part B Supplier - Clinic/Group Practice 8628062320 Receives reassigned benefits from 19 practitioners
Practice locations: McCamey, TX

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
McCamey HospitalMcCamey, TX, CCN 451309 Hospital Operational/Managerial Control Jan 1, 2007
McCamey HospitalMcCamey, TX, CCN 45Z309 Hospital Operational/Managerial Control Jan 1, 2007
McCamey Hospital RHCMcCamey, TX, CCN 458681 Rural health clinic Operational/Managerial Control Jan 1, 2007

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1689899072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "MCCAMEY",
            "state": "TX",
            "postal_code": "797521200",
            "telephone_number": "432-652-8626",
            "fax_number": "432-652-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S HWY 305",
            "city": "MCCAMEY",
            "state": "TX",
            "postal_code": "79752",
            "telephone_number": "432-652-8626",
            "fax_number": "432-652-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCAMEY COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "GULIHUR",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "432-652-8626",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "00DT94",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "00DT94",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "00DT94",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "00DT94",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "00DT94",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR-PHYSICIAN",
            "identifier": "122439",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082242101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO-CARDIOLOGY PHYS",
            "identifier": "DB7838",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHYSICIAN",
            "identifier": "00DT94",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE-HOSPITAL PHYS",
            "identifier": "104613100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO-HOSPITAL PHYS",
            "identifier": "CS4207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCamey Hospital Physician Grp Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McCamey, TX

Sources for this page

Verify at the official NPI Registry.