NPIMap

Organization Active NPI

Hansford County Hospital District

Doing business as Hansford County Hospital Swingbed

  • Critical Access Hospital
  • Spearman, TX
National Provider Identifier
1821089814
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
000395 Issued in TX
Legal business name
HANSFORD COUNTY HOSPITAL DISTRICT
Doing business as
Hansford County Hospital Swingbed
Practice address
707 Roland St
Spearman, TX 79081-3441
Phone
(806) 659-2535
Fax
(806) 659-1027
NPI assigned
Oct 31, 2005
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

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
Critical Access Hospital 282NC0060X 000395 TX Primary

Addresses

Primary practice location

707 Roland St
Spearman, TX 79081-3441

Mailing address

707 Roland St
Spearman, TX 79081-3441
Phone (806) 659-2535

Other identifiers 2

IdentifierTypeStateIssuer
HH0431OtherTXBLUECROSS BLUESHIELD
094117105MedicaidTX

Other names 1

  • Hansford County Hospital Swingbed Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100910000547 TX Part A Provider - Critical Access Hospital 5698723682 Practice locations: Spearman, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821089814. Details of each certification follow.

Hospital certification: CCN 45Z344

Legal name
HANSFORD COUNTY HOSPITAL DISTRICT
Doing business as
HANSFORD COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
707 Roland St
Spearman, TX 79081-3441
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Clinic13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

705 W 7th Ave
Ste Rhc
Spearman, TX 79081

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Jonathan C Bailey Individual Corporate OfficerCeo/Administrator Feb 24, 2010
W-2 Managing EmployeeCeo Feb 24, 2010
Janice Garrard Individual W-2 Managing EmployeeBusiness Office Manager Mar 1, 2014
Blake Fitzgearld Individual Corporate OfficerCfo Mar 1, 2021
W-2 Managing EmployeeCfo Mar 1, 2021
Crystal Walls Individual W-2 Managing EmployeeBusiness Office Manager Mar 1, 2014
Hansford County Hospital District Organization, Spearman, TX Non-profit Other Sep 15, 2010 100%

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 6

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
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 6

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

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1821089814",
    "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": "806-659-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ROLAND ST",
            "city": "SPEARMAN",
            "state": "TX",
            "postal_code": "790813441",
            "telephone_number": "806-659-2535",
            "fax_number": "806-659-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSFORD COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "000395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "HH0431",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094117105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hansford County Hospital Swingbed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hansford County Hospital Swingbed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spearman, TX

Sources for this page

Verify at the official NPI Registry.