NPIMap

Organization Active NPI

Hospice of Wichita Falls, Inc.

Doing business as Palliative Care of North Texas

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wichita Falls, TX
National Provider Identifier
1871960500
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
HOSPICE OF WICHITA FALLS, INC.
Doing business as
Palliative Care of North Texas
Practice address
4909 Johnson Rd
Wichita Falls, TX 76310-2547
Phone
(940) 691-0982
Fax
(940) 687-6000
NPI assigned
Aug 28, 2015
Last updated
May 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Alisa Echols
Title
Ceo / Executive Director
Phone
(940) 691-0982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

4909 Johnson Rd
Wichita Falls, TX 76310-2547

Mailing address

4909 Johnson Rd
Wichita Falls, TX 76310-2547
Phone (940) 691-0985

Other names 1

  • Palliative Care of North Texas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160329002411 TX Part B Supplier - Clinic/Group Practice 2264450428 Receives reassigned benefits from 15 practitioners
Practice locations: Wichita Falls, TX

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Wichita Falls4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3301 Wilbarger St
Vernon, TX 76384
Phone (940) 691-0982

5020 Wilbarger St
Vernon, TX 76384
Phone (940) 691-0982

4400 Cypress Ave
Wichita Falls, TX 76310
Phone (940) 691-7100

5402 Kell Blvd
Wichita Falls, TX 76310

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1871960500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 JOHNSON RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102547",
            "telephone_number": "940-691-0985",
            "fax_number": "940-687-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 JOHNSON RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102547",
            "telephone_number": "940-691-0982",
            "fax_number": "940-687-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF WICHITA FALLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "CEO / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "940-691-0982"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palliative Care of North Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palliative Care of North Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.