NPIMap

Organization Active NPI

Dawson County Hospital District

  • Primary Care Clinic/Center
  • Lamesa, TX
National Provider Identifier
1730570920
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DAWSON COUNTY HOSPITAL DISTRICT
Practice address
1016 N 17TH St
Lamesa, TX 79331-2404
Phone
(806) 872-5727
Fax
(806) 872-0823
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Mr. Jeffrey Edward Weaver
Title
Cfo
Phone
(806) 872-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1016 N 17TH St
Lamesa, TX 79331-2404

Mailing address

2200 N Bryan Ave
Lamesa, TX 79331-2451
Phone (086) 872-5727

Other names 1

  • Medical Arts Specialty Annex Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050708000054 TX Part A Provider - Hospital 6800832155 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lamesa, TX

Hospital certification: CCN 450489

Legal name
DAWSON COUNTY HOSPITAL DISTRICT
Doing business as
MEDICAL ARTS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 19, 2022
Beds
21
Ownership / control type
Hospital district or authority
Most recent change of ownership
Apr 1, 2005 (1 total)
Organization structure
OtherNon-profit
Enrollment address
2200 North Bryan Avenue
Medical Arts Hospital
Lamesa, TX 79331-2451
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Medical Arts HospitalCCN 450489
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Dawson County Hospital Dist5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Nicky Dewayne Chapman Individual Corporate DirectorBoard Member Jun 15, 2021
David E Sanderson Individual Corporate DirectorBoard Member Jun 15, 2021
Letha Stokes Individual Corporate OfficerDesignated Owner/Officer Jan 11, 2008
W-2 Managing EmployeeChief Executive Officer Jan 11, 2008
Colby Reeves Individual Corporate OfficerCfo Aug 1, 2022
W-2 Managing EmployeeCfo Jun 10, 2021
Dawson County Hospital District Organization, Lamesa, TX 5% Or Greater Direct Ownership Interest Apr 1, 2005
Operational/Managerial Control Apr 1, 2005
Jo Beth Smith Individual Corporate OfficerChief Operating Officer Nov 22, 2021
W-2 Managing EmployeeChief Operating Officer Aug 12, 2012
Lisa Diane Sherrill Individual Corporate DirectorDirector of Nurses Jan 1, 2021
W-2 Managing EmployeeDirector of Nursing Aug 9, 2018
Michael Ritch Johnson Individual Corporate DirectorBoard of Directors Board Member May 24, 2017 20%

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 27

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1730570920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N BRYAN AVE",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793312451",
            "telephone_number": "086-872-5727",
            "fax_number": "806-872-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N 17TH ST",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793312404",
            "telephone_number": "806-872-5727",
            "fax_number": "806-872-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWSON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "806-872-5727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Arts Specialty Annex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamesa, TX

Sources for this page

Verify at the official NPI Registry.