Organization Active NPI

GPCH, LLC

Doing business as Golden Plains Community Hospital

  • Critical Access Hospital
  • Borger, TX
National Provider Identifier
1841497153
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
008574 Issued in TX
Legal business name
GPCH, LLC
Doing business as
Golden Plains Community Hospital
Practice address
100 Medical Drive
Borger, TX 79007-7579
Phone
(806) 467-5702
Fax
(806) 467-5704
NPI assigned
Jun 29, 2007
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Melody Henderson
Title
Interim Ceo
Phone
(806) 467-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 008574 TX Primary

Addresses

Primary practice location

100 Medical Drive
Borger, TX 79007-7579

Mailing address

100 Medical Drive
Borger, TX 79007-7579
Phone (806) 467-5702

Other identifiers 3

IdentifierTypeStateIssuer
673446OtherTXRURAL HEALTH CLINIC PTAN
0A3362OtherMEDICARE GROUP PTAN
197063401MedicaidTX

Other names 1

  • Golden Plains Community Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070904000598 TX Part A Provider - Critical Access Hospital 0042303232 1 other NPI on this enrollment
Practice locations: Borger, TX
O20090311000280 TX Part B Supplier - Clinic/Group Practice 0042303232 Receives reassigned benefits from 37 practitioners
12 other NPIs on this enrollment
Practice locations: Borger, TX; Fritch, TX; Missouri City, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841497153. Details of each certification follow.

Hospital certification: CCN 451369

Legal name
GPCH LLC
Doing business as
GOLDEN PLAINS COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2005
Last certification
Sep 15, 2021
Beds
25
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 2007 (2 total)
Organization structure
LLCProprietary
Incorporated
Oct 1, 2007 in TX
Enrollment address
100 Medical Drive
Borger, TX 79007-7579

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 9

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Golden Plains Community HospitalCCN 451369 · All quality measures
Type
Critical Access Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

50 Medical Plz
Ste 300
Borger, TX 79007
Phone (806) 467-5894

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dina K Hermes Individual Corporate OfficerCfo Jun 13, 2013
W-2 Managing Employee Jun 13, 2013
Hutchinson County EMS Inc Organization, Borger, TX Non-profit 5% Or Greater Direct Ownership Interest Jan 2, 2023 100%
Operational/Managerial Control Jan 2, 2023 100%
Donald E Bates Individual Corporate OfficerCeo Feb 8, 2016

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 41

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 41

Affiliated clinicians 89

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1841497153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DRIVE",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790077579",
            "telephone_number": "806-467-5702",
            "fax_number": "806-467-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DRIVE",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790077579",
            "telephone_number": "806-467-5702",
            "fax_number": "806-467-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "806-467-5700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "008574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH CLINIC PTAN",
            "identifier": "673446",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "0A3362",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197063401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Plains Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Borger, TX

Sources for this page

Verify at the official NPI Registry.