NPIMap

Organization Active NPI

Mitchell County Hospital Distict

Doing business as Sage Healthcare Center

  • Skilled Nursing Facility
  • Lamesa, TX
National Provider Identifier
1851725071
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MITCHELL COUNTY HOSPITAL DISTICT
Doing business as
Sage Healthcare Center
Practice address
1201 N 15TH St
Lamesa, TX 79331-3025
Phone
(806) 872-2141
Fax
(806) 872-2299
NPI assigned
Aug 23, 2013
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Robbie Dewberry
Title
Ceo
Phone
(325) 728-3431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1201 N 15TH St
Lamesa, TX 79331-3025

Mailing address

1201 N 15TH St
Lamesa, TX 79331-3025
Phone (806) 872-2141

Other identifiers 1

IdentifierTypeStateIssuer
004672MedicaidTX

Other names 1

  • Sage Healthcare Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sweetwater Family Medical Associates11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1851725071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N 15TH ST",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793313025",
            "telephone_number": "806-872-2141",
            "fax_number": "806-872-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 15TH ST",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793313025",
            "telephone_number": "806-872-2141",
            "fax_number": "806-872-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL COUNTY HOSPITAL DISTICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "DEWBERRY",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-728-3431"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004672",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamesa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.