NPIMap

Organization Active NPI

Hardeman County Memorial Hosp

Doing business as Foard County Medical Clinic

  • Rural Health Clinic/Center
  • Crowell, TX
National Provider Identifier
1821277211
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HARDEMAN COUNTY MEMORIAL HOSP
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 1, 2007
Last updated
Oct 15, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HARDEMAN COUNTY MEMORIAL HOSPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Tracy J Betts
Title
Chief Financial Officer
Phone
(940) 663-2795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

200 North First Street
Crowell, TX 79227

Mailing address

PO Box 90
Quanah, TX 79252-0090
Phone (940) 663-2795

Other names 1

  • Foard County Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000249 TX Part A Provider - Rural Health Clinic 7113919580 1 other NPI on this enrollment
Practice locations: Crowell, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821277211. Details of each certification follow.

Rural health clinic certification: CCN 458848

Legal name
HARDEMAN COUNTY MEMORIAL HOSP
Doing business as
FOARD COUNTY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 30, 2004
Last certification
Nov 19, 2019
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
200 North First Street
Crowell, TX 79227
Related CCNs
451352

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

Other NPIs with the same Medicare PAC ID 2

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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1020978Hardeman County Memorial Hospital200 North First Street, Crowell, TX 79227Certificate of waiverJan 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Weldon E Glidden MD3 organizations share this tax ID, including this one
Part of
Weldon E Glidden MD

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Michael Beimer Individual Corporate OfficerBoard Member May 21, 2014
Dennis Thomas Individual Corporate DirectorChief Executive Officer Apr 1, 2016
W-2 Managing EmployeeChief Executive Officer Jul 12, 2016
Vicky Lindsey Individual Corporate OfficerBoard Member Jan 1, 2014
Sandy McAllister Individual Corporate OfficerBoard Member Jun 1, 2021
Cynthia Nichols Individual Corporate OfficerBoard Member May 1, 2023
Denise McLennan Foster Individual Corporate OfficerBoard Member May 10, 2016
Martha Jones Individual Corporate OfficerBoard Member Jun 1, 2021
Hardeman County Memorial Hosp Organization, Quanah, TX Non-profit Operational/Managerial Control Oct 1, 2007
Tracy Betts Individual Corporate DirectorCfo Aug 6, 2010
W-2 Managing EmployeeChief Financial Officer Aug 6, 2010

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Hardeman County Memorial HospQuanah, TX, CCN 451352 Hospital Operational/Managerial Control Aug 1, 2010
Hardeman County Memorial HospitalQuanah, TX, CCN 45Z352 Hospital Operational/Managerial Control Aug 1, 2010
Hardeman County ClinicQuanah, TX, CCN 458893 Rural health clinic Operational/Managerial Control May 1, 2010

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1821277211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "QUANAH",
            "state": "TX",
            "postal_code": "792520090",
            "telephone_number": "940-663-2795",
            "fax_number": "940-663-5149"
        },
        {
            "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": "HARDEMAN COUNTY MEMORIAL HOSP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARDEMAN COUNTY MEMORIAL HOSP",
        "enumeration_date": "2007-11-01",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "940-663-2795"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foard County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crowell, TX

Sources for this page

Verify at the official NPI Registry.