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Organization Active NPI

Olney Hamilton Hospital District

  • Nurse Practitioner
  • Olney, TX
National Provider Identifier
1801158787
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
OLNEY HAMILTON HOSPITAL DISTRICT
Practice address
901 W Hamilton St
Olney, TX 76374-1725
Phone
(940) 564-5521
Fax
(940) 564-2188
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Michael Huff
Title
Administrator
Phone
(940) 564-8115

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X
Anesthesiologist AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 367H00000X

Addresses

Primary practice location

901 W Hamilton St
Olney, TX 76374-1725

Mailing address

PO Box 158
Olney, TX 76374-0158
Phone (940) 564-8196

Other names 1

  • Hamilton Hospital Medical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120727000642 TX Part B Supplier - Clinic/Group Practice 9133029077 Receives reassigned benefits from 24 practitioners
Practice locations: Olney, TX

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Olney Hamilton Hospital District11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

306 W Main St
Olney, TX 76374
Phone (940) 564-3546

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Olney Rehabilitation and Care CenterOlney, TX, CCN 455611 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2014
Oct 1, 2024
Texhoma Christian Care Center IncWichita Falls, TX, CCN 455965 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2017
Apr 1, 2017
Willow Ridge Wellness & RehabilitationFort Worth, TX, CCN 455416 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Brookhaven Nursing and Rehabilitation CenterCarrollton, TX, CCN 455412 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
Lovett Meredith Rural Health ClinicOlney, TX, CCN 458863 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2004
Nov 1, 2004
Archer Family ClinicArcher City, TX, CCN 673413 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2012

Owned or controlled facilities with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1801158787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "OLNEY",
            "state": "TX",
            "postal_code": "763740158",
            "telephone_number": "940-564-8196",
            "fax_number": "940-564-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W HAMILTON ST",
            "city": "OLNEY",
            "state": "TX",
            "postal_code": "763741725",
            "telephone_number": "940-564-5521",
            "fax_number": "940-564-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLNEY HAMILTON HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-564-8115"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Hospital Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olney, TX

Sources for this page

Verify at the official NPI Registry.