Fannin County Hospital Authority

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

008231 Issued in TX

Legal business name

FANNIN COUNTY HOSPITAL AUTHORITY

Doing business as

Red River Regional Hospital

Practice address

504 Lipscomb St
P. O. Drawer C
Bonham, TX 75418-4028

Phone

(903) 583-8585

Fax

(903) 640-7601

NPI assigned

Aug 25, 2006

Last updated

Jul 18, 2013By 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

Jay Hodges

Title

Cfo

Phone

(903) 583-8585

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Red River Regional Hospital Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

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

• Fannin County Hospital Authority

  dba Red River Family Practice

  • Family Medicine Physician
  • Bonham, TX
  • NPI 1184047599

  O20130923000100

  Same enrollment
• Fannin County Hospital Authority

  dba Bonham Pain Management Clinic

  • Pain Medicine (Anesthesiology) Physician
  • Bonham, TX
  • NPI 1437486867

  O20130923000100

  Same enrollment
• Fannin County Hospital Authority

  dba Bonham Specialty Clinic

  • Family Medicine Physician
  • Bonham, TX
  • NPI 1568695310

  O20130923000100

  Same enrollment
• Fannin County Hospital Authority

  dba TMC Bonham Speciality Clinic

  • Surgery Physician
  • Bonham, TX
  • NPI 1619474293

  O20130923000100

  Same enrollment
• Fannin County Hospital Authority

  dba TMCB Multi-Specialty Group

  • Anesthesiology Physician
  • Bonham, TX
  • NPI 1689272932

  O20130923000100

  Same enrollment
• Fannin County Hospital Authority

  dba dba TMC Bonham Hospital

  • Critical Access Hospital
  • Bonham, TX
  • NPI 1760417646

  O20130923000100

  Same enrollment
• Fannin County Hospital Autority

  dba Paris Total Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Paris, TX
  • NPI 1215438601

  O20130923000100

  Same enrollment

All facility ownership & control disclosures 56

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

Practitioners 4

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.

• Alicia Faye Fowler, P.A.

  • Physician Assistant
  • Bonham, TX
  • NPI 1457553877
  Medicare reassignment Care Compare group
• Harold Shane Brown, DPM

  • Foot & Ankle Surgery Podiatrist
  • Celina, TX
  • NPI 1962635185
  Medicare reassignment NPD
• David Ward Stange, CRNA

  • Certified Registered Nurse Anesthetist
  • Sherman, TX
  • NPI 1700883188
  Medicare reassignment NPD
• Jack L Forest, D.O.

  • Surgery Physician
  • Maryville, MO
  • NPI 1679560775

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1851408561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LIPSCOMB ST",
            "address_2": "P. O. DRAWER C",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184028",
            "telephone_number": "903-583-8585",
            "fax_number": "903-640-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 LIPSCOMB ST",
            "address_2": "P. O. DRAWER C",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184028",
            "telephone_number": "903-583-8585",
            "fax_number": "903-640-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-583-8585"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "008231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00C57T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1108490-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red River Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fannin County Hospital Authority (Bonham Specialty Clinic)
• Fannin County Hospital Authority (TMC Bonham Speciality Clinic)
• Fannin County Hospital Authority (TMCB Multi-Specialty Group)
• Fannin County Hospital Authority
• Fannin County Hospital Authority (dba TMC Bonham Hospital)
• Fannindel Isd
• Victoria Terkishia Faulkner, KINESIOTHERAPIST
• Patrick Stephen Tan Felicitas, M.D.
• Fighting Warrior Inpatient Services
• Sam Lawrence Finnell

• Critical Access Hospital in Bonham, TX
• Providers in Bonham, TX by specialty
• Critical Access Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.

Verify at the official NPI Registry.