Hansford County Hospital District
Organization Active NPI Family Medicine Physician · Spearman, TX
NPI 1801045182 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1801045182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- HANSFORD COUNTY HOSPITAL DISTRICT
- Practice address
- 712 Roland St
Spearman, TX 79081-3442 - Phone
- (806) 659-1778
- Fax
- (806) 659-5844
- NPI assigned
- Sep 11, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- HANSFORD COUNTY HOSPITAL DISTRICT
Authorized official
- Name
- Mr. Blake Fitzgearld
- Title
- Cfo
- Phone
- (806) 659-1111
Owned or controlled facilities with NPI records 7
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 12
Practitioners 7
-
Mark Hamilton Garnett, D.O.
-
Wilhma Elizabeth Macias, FNP-C
-
Abbi Messer, DO
-
Mandie Denise Vega, FNP-C
-
Abdullah Aftab Dar, M.D.
-
Linda Sue Dodson, APRN CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Hansford County Hospital |
Hospital | Other (100%) | Sep 15, 2010 |
| Hansford County Hospital |
Hospital | Other (100%) | Sep 15, 2010 |
| The Plaza at Lubbock |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| Hansford County Hospital District Dba Lakeridge Rehab and Nursing Cent |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Mi Casita Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Hansford Hospice |
Hospice | Operational/Managerial Control (100%) | Nov 11, 2013 |
| Family Medical Clinic of Hansford County |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 9, 1996 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050106000356 | TX | Part B Supplier - Clinic/Group Practice | 5698723682 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment Practice locations: Spearman, TX |
National Provider Directory
- Tax ID family
- Palo Duro Medical Clini
- Part of
- Palo Duro Medical Clini
Locations
712 Roland St
Spearman, TX 79081
Phone (806) 659-1778
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | TX | Yes |
Addresses
Primary practice location
712 Roland St
Spearman, TX 79081-3442
Mailing address
707 Roland St
Spearman, TX 79081-3441
Phone (806) 659-2535
Other names
- Palo Duro Health Center
Other providers in Spearman, TX
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford Drug Company Inc
- Hansford Manor
All providers in Spearman, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.