NPIMap

Organization Active NPI

Memorial Hospital of Texas County Authority

Doing business as High Plains Clinic

  • Medical Specialty Clinic/Center
  • Guymon, OK
National Provider Identifier
1730380825
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2249 Issued in OK
Legal business name
MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY
Doing business as
High Plains Clinic
Practice address
421 Medical Dr
Guymon, OK 73942-3640
Phone
(580) 338-7792
Fax
(580) 338-7797
NPI assigned
May 29, 2007
Last updated
Jul 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Tracy Johnson
Title
Ceo
Phone
(580) 338-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 2249 OK Primary

Addresses

Primary practice location

421 Medical Dr
Guymon, OK 73942-3640

Mailing address

520 Medical Dr
Guymon, OK 73942-4438
Phone (580) 338-6515

Other names 1

  • High Plains Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000739 OK Part B Supplier - Clinic/Group Practice 5395647655 Receives reassigned benefits from 11 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Guymon, OK; Hooker, OK

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital of Te15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1730380825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739424438",
            "telephone_number": "580-338-6515",
            "fax_number": "580-468-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423640",
            "telephone_number": "580-338-7792",
            "fax_number": "580-338-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-338-3113"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "2249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Plains Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "High Plains Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guymon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.