Organization Active NPI

Swisher Memorial Hospital

  • Home Health Agency
  • Tulia, TX
National Provider Identifier
1811954159
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002791 Issued in TX
Legal business name
SWISHER MEMORIAL HOSPITAL
Practice address
200 N Austin
Tulia, TX 79088-0808
Phone
(806) 995-3756
Fax
(806) 995-3782
NPI assigned
Apr 28, 2006
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SWISHER MEMORIAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Mr. James E Koulovatos
Title
Chief Executive Officer
Phone
(806) 995-8201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 002791 TX Primary

Addresses

Primary practice location

200 N Austin
Tulia, TX 79088-0808

Mailing address

PO Box 808
200 N Austin
Tulia, TX 79088-0808
Phone (806) 995-3756

Other identifiers 3

IdentifierTypeStateIssuer
130721703MedicaidTX
10638410OtherTXFIRST CARE
HH8026OtherTXBCBS

Other names 1

  • Swisher Memorial Home Health Other name

National Provider Directory

National Provider Directory
Part of
Tule Creek EMS

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1811954159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "address_2": "200 N AUSTIN",
            "city": "TULIA",
            "state": "TX",
            "postal_code": "790880808",
            "telephone_number": "806-995-3756",
            "fax_number": "806-995-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N AUSTIN",
            "city": "TULIA",
            "state": "TX",
            "postal_code": "790880808",
            "telephone_number": "806-995-3756",
            "fax_number": "806-995-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWISHER MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SWISHER MEMORIAL HOSPITAL DISTRICT",
        "enumeration_date": "2006-04-28",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "KOULOVATOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "806-995-8201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130721703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "10638410",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH8026",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swisher Memorial Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tulia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.