Baylor County Hospital District

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BAYLOR COUNTY HOSPITAL DISTRICT

Doing business as

Foard County Medical Clinic

Practice address

200 North First Street
Crowell, TX 79227

Phone

(940) 684-1515

Fax

(940) 684-1953

NPI assigned

Nov 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie Hardin

Title

Ceo Cfo

Phone

(940) 889-5572

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Foard County Medical Clinic Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Baylor County Hospital District

  dba Avir at Tomball

  • Skilled Nursing Facility
  • Tomball, TX
  • NPI 1336647866

  Member Of

  NPD member

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821166984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STADIUM DRIVE",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "76380",
            "telephone_number": "940-889-5583",
            "fax_number": "940-889-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH FIRST STREET",
            "city": "CROWELL",
            "state": "TX",
            "postal_code": "79227",
            "telephone_number": "940-684-1515",
            "fax_number": "940-684-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO CFO",
        "authorized_official_telephone_number": "940-889-5572",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "000R33R",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foard County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Seth Bursey
• Childress County Hospital District (Avir at Crowell)
• Crowell Isd
• Crowell Nursing Center, L.P. (Crowell Nursing Center)
• Crowell SNF LLC (Crowell Nursing Center)

• Rural Health Clinic/Center in Crowell, TX
• Providers in Crowell, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.