NPIMap

Organization Active NPI

Ochiltree Hospital District

Doing business as Perryton Health Center

  • Rural Health Clinic/Center
  • Perryton, TX
National Provider Identifier
1871590653
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
98 Issued in TX
Legal business name
OCHILTREE HOSPITAL DISTRICT
Doing business as
Perryton Health Center
Practice address
3101 Garrett Dr
Perryton, TX 79070-5323
Phone
(806) 435-7224
Fax
(806) 435-2813
NPI assigned
Jul 7, 2005
Last updated
Oct 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Mrs. Kelly Paige Judice
Title
Interim Ceo
Phone
(806) 435-3606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 98 TX Primary

Addresses

Primary practice location

3101 Garrett Dr
Perryton, TX 79070-5323

Mailing address

3101 Garrett Dr
Perryton, TX 79070-5323
Phone (806) 435-3606

Other identifiers 5

IdentifierTypeStateIssuer
070837201MedicaidTX
092107402MedicaidTX
0097ESOtherTXBLUE CROSS
092107401MedicaidTX
101618100OtherFIRSTCARE

Other names 1

  • Perryton Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040910000841 TX Part B Supplier - Clinic/Group Practice 0749257723 Receives reassigned benefits from 72 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Perryton, TX
O20050422000352 TX Part A Provider - Rural Health Clinic 0749257723 Practice locations: Perryton, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871590653. Details of each certification follow.

Rural health clinic certification: CCN 458750

Legal name
OCHILTREE HOSPITAL DISTRICT
Doing business as
PERRYTON HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 4, 1997
Last certification
Aug 11, 2025
Ownership / control type
Non-profit – church related
Organization structure
OtherProprietary
Enrollment address
3101 Garrett Dr
Perryton Health Center
Perryton, TX 79070-5323
Related CCNs
451359

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

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0921961Perryton HLTH Ctr-Ochiltree Hosp Dist3101 Garrett Dr, Perryton, TX 79070Provider-performed microscopyNov 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Perryton Health Center13 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
Ochiltree Hospital District Organization, Perryton, TX Operational/Managerial Control May 6, 2010
Kelly Paige Judice Individual Corporate OfficerCeo Sep 22, 2022
Corporate DirectorCeo Sep 22, 2022
W-2 Managing EmployeeCeo Sep 22, 2022

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Ochiltree General HospitalPerryton, TX, CCN 451359 Hospital Operational/Managerial Control Jul 15, 2010
Ochiltree General HospitalPerryton, TX, CCN 45Z359 Hospital Operational/Managerial Control Jan 1, 2011
Ochiltree Hospital DistrictPerryton, TX, CCN 457640 Home health agency 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2009
Hospice of Ochiltree General HospitalPerryton, TX, CCN 451589 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 18, 2013
Nov 18, 2013

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1871590653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323",
            "telephone_number": "806-435-3606",
            "fax_number": "806-435-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323",
            "telephone_number": "806-435-7224",
            "fax_number": "806-435-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHILTREE HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "JUDICE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "806-435-3606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "98",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070837201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092107402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0097ES",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092107401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "101618100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perryton Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perryton Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perryton, TX

Sources for this page

Verify at the official NPI Registry.