High Country Community Rural Health Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HIGH COUNTRY COMMUNITY RURAL HEALTH CLINIC, LLC

Practice address

201 Texas Blvd
Dalhart, TX 79022-1208

Phone

(806) 249-8324

Fax

(806) 249-8412

NPI assigned

May 12, 2006

Last updated

Feb 23, 2010By 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

Ms. Joe Ann Moore

Title

Clinic Administrator

Phone

(806) 249-8324

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Bruce Fred Schubert, PA

  • Medical Physician Assistant
  • Dalhart, TX
  • NPI 1386614964
  NPD
• Alicia Irene Balderas, PA-C

  • Physician Assistant
  • Amarillo, TX
  • NPI 1134420367
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1841241312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TEXAS BLVD",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790221208",
            "telephone_number": "806-249-8324",
            "fax_number": "806-249-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TEXAS BLVD",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790221208",
            "telephone_number": "806-249-8324",
            "fax_number": "806-249-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH COUNTRY COMMUNITY RURAL HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOE ANN",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "806-249-8324",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092278302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liana Gonzalez, COTA
• Douglas Griffith, MPAS, PA-C
• HCC of Dalhart LLC
• Randy Herring, M.D.
• High Country Community Rural Health Clinic
• Katelyn Marie Hosek
• Gary W Johnson, RPH
• Timothy Allen Jones, CRNA, DNS
• Jose E Espinel MD PA
• Kathy M Kelso, M.S. CCC-SLP

• Clinic/Center in Dalhart, TX
• Providers in Dalhart, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.