NPIMap

Organization Active NPI

Palo Pinto County Hospital District

Doing business as Palo Pinto General Hospital

  • Anesthesiology Physician
  • Mineral Wells, TX
National Provider Identifier
1841258076
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
00C78C Issued in TX
Legal business name
PALO PINTO COUNTY HOSPITAL DISTRICT
Doing business as
Palo Pinto General Hospital
Practice address
400 SW 25TH Ave
Mineral Wells, TX 76067
Phone
(940) 325-7891
Fax
(940) 328-7529
NPI assigned
May 4, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Ross Korkmas
Title
Ceo
Phone
(940) 325-7891

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 00C78C TX Primary
Certified Registered Nurse Anesthetist 367500000X 00C78C TX

Addresses

Primary practice location

400 SW 25TH Ave
Mineral Wells, TX 76067

Mailing address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

Other identifiers 3

IdentifierTypeStateIssuer
138950404MedicaidTX
CD2070OtherTXMEDICARE RAILROAD
CC2933OtherTXMEDICARE RAILROAD

Other names 1

  • Palo Pinto General Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000393 TX Part B Supplier - Clinic/Group Practice 5890602759 Receives reassigned benefits from 84 practitioners
3 other NPIs on this enrollment
Practice locations: Mineral Wells, TX; Santo, TX; Graford, TX; Gordon, TX

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
West Town Clinic26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

All facility ownership & control disclosures 14

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

FacilityTypeRoleSince
Palo Pinto General HospitalMineral Wells, TX, CCN 450565 Hospital Operational/Managerial Control Feb 7, 2007
Palo Pinto General HospitalMineral Wells, TX, CCN 45U565 Hospital Operational/Managerial Control Jun 13, 1968
White Settlement Nursing CenterWhite Settlement, TX, CCN 455475 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Wedgewood Nursing HomeFort Worth, TX, CCN 455572 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Santa Fe Health & Rehabilitation CenterWeatherford, TX, CCN 455957 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Palo Pinto Nursing CenterMineral Wells, TX, CCN 455961 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Clyde Nursing CenterClyde, TX, CCN 675038 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Benbrook Nursing and Rehabilitation CenterBenbrook, TX, CCN 675906 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014
Heritage House at Keller Rehab and NursingKeller, TX, CCN 675153 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Windcrest Health & RehabilitationAbilene, TX, CCN 676219 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Mineral Wells Family HealthMineral Wells, TX, CCN 458832 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2003
Community Care CenterMineral Wells, TX, CCN 458653 Rural health clinic Operational/Managerial Control (100%) Jan 1, 1990
Gordon Family HealthGordon, TX, CCN 458548 Rural health clinic Operational/Managerial Control (100%) Sep 1, 1994
Santo Family HealthSanto, TX, CCN 673416 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012

Owned or controlled facilities with NPI records 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1841258076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-325-7891",
            "fax_number": "940-328-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "76067",
            "telephone_number": "940-325-7891",
            "fax_number": "940-328-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO PINTO COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "KORKMAS",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-325-7891"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "00C78C",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "00C78C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138950404",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD2070",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CC2933",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Pinto General Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palo Pinto General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.