Organization Active NPI

Preferred Hospital Leasing Muleshoe, Inc.

Doing business as Medical Clinic of Muleshoe

  • Rural Health Clinic/Center
  • Muleshoe, TX
National Provider Identifier
1821484320
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PREFERRED HOSPITAL LEASING MULESHOE, INC.
Doing business as
Medical Clinic of Muleshoe
Practice address
708 S 1St St Ste 701
Muleshoe, TX 79347-3627
Phone
(806) 272-7544
NPI assigned
Apr 10, 2015
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Donald A Freeman
Title
President
Phone
(405) 878-0202

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

708 S 1St St Ste 701
Muleshoe, TX 79347-3627

Mailing address

120 W Macarthur St
Suite 121
Shawnee, OK 74804-2007

Other names 1

  • Medical Clinic of Muleshoe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
Muleshoe Area Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

708 S 1st St
Ste 701
Muleshoe, TX 79347
Phone (806) 272-7544

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2024 Change of OwnershipThis provider was the seller Medical Clinic of MuleshoeCCN 673430, TX, NPI 1104810522

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1821484320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MACARTHUR ST",
            "address_2": "SUITE 121",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S 1ST ST STE 701",
            "city": "MULESHOE",
            "state": "TX",
            "postal_code": "793473627",
            "telephone_number": "806-272-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HOSPITAL LEASING MULESHOE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-878-0202"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Clinic of Muleshoe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Clinic of Muleshoe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muleshoe, TX

Sources for this page

Verify at the official NPI Registry.