NPIMap

Organization Active NPI

Comanche County Consolidated Hospital District

Doing business as Comanche County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Comanche, TX
National Provider Identifier
1861517229
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
00495 Issued in TX
Legal business name
COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT
Doing business as
Comanche County Medical Center
Practice address
10201 Highway 16
Comanche, TX 76442-4462
Phone
(254) 879-4900
Fax
(254) 879-4990
NPI assigned
Mar 21, 2007
Last updated
Dec 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Mr. Kevin Storey
Title
Ceo
Phone
(254) 879-4900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000495 TX
Medicare Defined Swing Bed Hospital Unit 275N00000X 00495 TX Primary

Addresses

Primary practice location

10201 Highway 16
Comanche, TX 76442-4462

Mailing address

10201 Highway 16
Comanche, TX 76442-4462
Phone (254) 879-4900

Other names 1

  • Comanche County Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101227000717 TX Part A Provider - Critical Access Hospital 4385552413 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Comanche, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861517229. Details of each certification follow.

Hospital certification: CCN 45Z382

Legal name
COMANCHE COUNTY MEDICAL CENTER COMPANY
Organization structure
OtherProprietary
Enrollment address
10201 Highway 16
Comanche County Medical Center
Comanche, TX 76442-4462
Other Hospital Practice Location

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Comanche Cty Cons Hosp Dist13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Hong C Wade Individual Corporate OfficerCfo Dec 9, 2019
Daniel Bonk Individual Corporate OfficerCeo Sep 21, 2025
W-2 Managing EmployeeAd; Sep 21, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1861517229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 HIGHWAY 16",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764424462",
            "telephone_number": "254-879-4900",
            "fax_number": "254-879-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HIGHWAY 16",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764424462",
            "telephone_number": "254-879-4900",
            "fax_number": "254-879-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-879-4900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "000495",
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "00495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comanche County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Comanche, TX

Sources for this page

Verify at the official NPI Registry.