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Andrews County Hospital District

Organization Active NPI Rural Health Clinic/Center · Andrews, TX

NPI 1699010371 · NPPES record last updated Jul 31, 2026

Key facts

NPI
1699010371
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
ANDREWS COUNTY HOSPITAL DISTRICT
Practice address
1411 N Main St
Andrews, TX 79714-3696
Phone
(432) 464-2586
NPI assigned
Dec 6, 2012
Organization subpart
Yes
Parent organization (as reported)
ANDREWS COUNTY HOSPITAL DISTRICT

Authorized official

Name
Susan Fournier
Title
Cfo
Phone
(432) 464-2107

Owners & managing parties with NPI records 8

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

Owned or controlled facilities with NPI records 5

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

Other NPIs with the same Medicare PAC ID 8

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

Corporate family (same tax ID) 8

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

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

Facilities with the same owner 5

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

Practitioners 24

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2051062Quick Care Clinic
1411 N Main St, Andrews, TX 79714		Certificate of waiverDec 11, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX

Rural health clinic certification: CCN 673420

Legal name
ANDREWS COUNTY HOSPITAL DISTRICT
Doing business as
QUICK CARE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 18, 2014
Last certification
Feb 12, 2026
Ownership / control type
Non-profit – church related
Organization structure
Other · Non-profit
Enrollment address
1411N Main St
Quick Care Clinic
Andrews, TX 79714-3696
Related CCNs
450144

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Manual Gonzales
Individual 		Corporate Officer
Board Member		 Jan 1, 2017
Morgan Mason
Individual 		Corporate Director
Chief Financial Officer		 Oct 1, 2018
W-2 Managing Employee
Chief Financial Officer		 Oct 1, 2018
Carol Boswell
Individual 		Corporate Director
Director		 May 1, 2002
Donny Booth
Individual 		Corporate Director
Chief Executive Officer		 Aug 31, 2019
W-2 Managing Employee
Chief Executive Officer		 Aug 31, 2019
Andrea Warnke
Individual 		Corporate Director
Board Member		 Jan 1, 2018
Elizabeth Boynton
Individual 		Corporate Director
Director		 May 1, 2002
Jessica Varner
Individual 		Corporate Director
Board Member		 May 1, 2022
Andrews County Hospital District
Organization · Andrews, TX 		5% Or Greater Direct Ownership Interest Jun 2, 2013 100%
Sarah Bender
Individual 		Corporate Director
Board Member		 Nov 1, 2023
Mike Sanchez
Individual 		Corporate Director
Board Member		 Nov 1, 2020

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Permian Regional Medical Center
Andrews, TX · CCN 450144		 Hospital Operational/Managerial Control Jan 1, 2003
Permian Regional Medical Center
Andrews, TX · CCN 45U144		 Hospital Operational/Managerial Control Jan 1, 2003
Permian Residential Care Center
Andrews, TX · CCN 676175		 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Trustee of the SNF
Adp of the SNF		 Feb 12, 2003
Feb 12, 2003
Feb 12, 2003
Permian Regional Medical Center Home Health
Andrews, TX · CCN 457596		 Home health agency Operational/Managerial Control Nov 1, 2009
Andrews Family Medicine
Andrews, TX · CCN 458655		 Rural health clinic Operational/Managerial Control May 26, 2010

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130710000242 TX Part B Supplier - Clinic/Group Practice 6002724945 Receives reassigned benefits from 7 practitioners
Practice locations: Andrews, TX
O20140110000377 TX Part a Provider - Rural Health Clinic 6002724945 Practice locations: Andrews, TX

National Provider Directory

Tax ID family
Andrews County Hosp Dist (9 organizations share this tax ID)
Part of
Andrews County Hosp Dist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Rural Health Clinic/Center 261QR1300X Yes
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LP0808X

Addresses

Primary practice location

1411 N Main St
Andrews, TX 79714-3696

Mailing address

1411 N Main St
Andrews, TX 79714-3696
Phone (432) 464-2586

Other names

  • QUICK CARE CLINIC Doing business as

Other providers in Andrews, TX

All providers in Andrews, TX · Rural Health Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.