Active NPI
Preferred Hospital Leasing Muleshoe, Inc.
Doing business as Medical Clinic of Muleshoe
- Rural Health Clinic/Center
- Muleshoe, TX
National Provider Identifier
1821484320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 Center
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Muleshoe Area Medical Center
- Critical Access Hospital
- Muleshoe, TX
- NPI 1275525214
-
dba Muleshoe Family Medicine Clinic
- Rural Health Clinic/Center
- Muleshoe, TX
- NPI 1124419163
-
- Family Medicine Physician
- Muleshoe, TX
- NPI 1609328806
-
dba Muleshoe Area Medical Center
- Critical Access Hospital
- Muleshoe, TX
- NPI 1619368339
-
dba Muleshoe Area Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Muleshoe, TX
- NPI 1891186516
Locations
708 S 1st St
Ste 701
Muleshoe, TX 79347
Phone (806) 272-7544
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Mar 1, 2024 | Change of Ownership | Medical Clinic of Muleshoe |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Medical Clinic of Muleshoe
- Rural Health Clinic/Center
- Muleshoe, TX
- NPI 1104810522
Sold to, 2024-03-01
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
- Kristen Renee Neely-Gilbert, RN, MSN, CEN, FNP-C
- Karissa Kay Parker, LPC
- Preferred Hospital Leasing Muleshoe, Inc. (Muleshoe Family Medicine Clinic)
- Preferred Hospital Leasing Muleshoe, Inc.
- Preferred Hospital Leasing Muleshoe, Inc. (Muleshoe Area Medical Center)
- Preferred Hospital Leasing Muleshoe, Inc. (Muleshoe Area Medical Center)
- Cheryl Lynette Puckett, PTA
- Jerry D. Redwine, O.D.
- Regence Health Network Inc
- Robert L. Lepard D.D.S.,P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.