NPIMap

Organization Active NPI

Swisher Memorial Hospital

  • Critical Access Hospital
  • Tulia, TX
National Provider Identifier
1831180447
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
000273 Issued in TX
Legal business name
SWISHER MEMORIAL HOSPITAL
Practice address
539 SE 2ND St
Tulia, TX 79088-0808
Phone
(806) 995-3581
Fax
(806) 995-8283
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Mr. James E Koulovatos
Title
Chief Exec Officer
Phone
(806) 995-8201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 000273 TX Primary

Addresses

Primary practice location

539 SE 2ND St
Tulia, TX 79088-0808

Mailing address

PO Box 808
539 SE 2ND St
Tulia, TX 79088-0808
Phone (806) 995-3581

Other identifiers 10

IdentifierTypeStateIssuer
130721708MedicaidTX
130721709MedicaidTX
130721707MedicaidTX
00J85TOtherTXSMH ER GRP BCBS
106384100OtherTXFIRST CARE
0076GNOtherTXSMH RHC BCBS
130721704MedicaidTX
HH0321OtherTXBC & BS
130721703MedicaidTX
130721710MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1831180447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "address_2": "539 SE 2ND ST",
            "city": "TULIA",
            "state": "TX",
            "postal_code": "790880808",
            "telephone_number": "806-995-3581",
            "fax_number": "806-995-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 SE 2ND ST",
            "city": "TULIA",
            "state": "TX",
            "postal_code": "790880808",
            "telephone_number": "806-995-3581",
            "fax_number": "806-995-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWISHER MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "KOULOVATOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXEC OFFICER",
        "authorized_official_telephone_number": "806-995-8201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "000273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130721708",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130721709",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130721707",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMH ER GRP BCBS",
            "identifier": "00J85T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "106384100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMH RHC BCBS",
            "identifier": "0076GN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130721704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "HH0321",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130721703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130721710",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.