NPIMap

Organization Active NPI

Hansford County Hospital District

Doing business as Palo Duro Health Center

  • Family Medicine Physician
  • Spearman, TX
National Provider Identifier
1801045182
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HANSFORD COUNTY HOSPITAL DISTRICT
Doing business as
Palo Duro Health Center
Practice address
712 Roland St
Spearman, TX 79081-3442
Phone
(806) 659-1778
Fax
(806) 659-5844
NPI assigned
Sep 11, 2008
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HANSFORD COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Mr. Blake Fitzgearld
Title
Cfo
Phone
(806) 659-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X TX Primary

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 1

  • Palo Duro Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Paul a Bublis DO13 organizations share this tax ID, including this one
Part of
Paul a Bublis DO

Other organizations with this tax ID 12

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

Locations

707 Roland St
Spearman, TX 79081
Phone (806) 659-2535

Ownership & related parties

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Hansford County HospitalSpearman, TX, CCN 451344 Hospital Other (100%) Sep 15, 2010
Hansford County HospitalSpearman, TX, CCN 45Z344 Hospital Other (100%) Sep 15, 2010
The Plaza at LubbockLubbock, TX, CCN 676105 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015
Hansford County Hospital District Dba Lakeridge Rehab and Nursing CentLubbock, TX, CCN 675853 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Mi Casita Nursing and RehabilitationLubbock, TX, CCN 675842 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Hansford HospiceSpearman, TX, CCN 451550 Hospice Operational/Managerial Control (100%) Nov 11, 2013
Family Medical Clinic of Hansford CountySpearman, TX, CCN 458707 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 9, 1996

Owned or controlled facilities with NPI records 7

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1801045182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ROLAND ST",
            "city": "SPEARMAN",
            "state": "TX",
            "postal_code": "790813441",
            "telephone_number": "806-659-2535",
            "fax_number": "806-659-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 ROLAND ST",
            "city": "SPEARMAN",
            "state": "TX",
            "postal_code": "790813442",
            "telephone_number": "806-659-1778",
            "fax_number": "806-659-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSFORD COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANSFORD COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2008-09-11",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "FITZGEARLD",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "806-659-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Duro Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palo Duro Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spearman, TX

Sources for this page

Verify at the official NPI Registry.