NPIMap

Organization Active NPI

Hemphill County Hospital District

  • Community Based Hospice Care Agency
  • Canadian, TX
National Provider Identifier
1881636041
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
451603 Issued in TX
Legal business name
HEMPHILL COUNTY HOSPITAL DISTRICT
Practice address
1020 S 4TH St
Canadian, TX 79014-3315
Phone
(806) 323-6422
Fax
(806) 323-8109
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Christy Francis
Title
Ceo
Phone
(806) 323-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 451603 TX Primary

Addresses

Primary practice location

1020 S 4TH St
Canadian, TX 79014-3315

Mailing address

1020 S 4TH St
Canadian, TX 79014-3315
Phone (806) 323-6422

Other identifiers 1

IdentifierTypeStateIssuer
000211800MedicaidTX

Other names 1

  • Hemphill County Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120117000741 TX Part A Provider - Hospice 4587652078 Practice locations: Canadian, TX

Hospice certification: CCN 451603

Legal name
HEMPHILL COUNTY HOSPITAL DISTRICT
Doing business as
HEMPHILL COUNTY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 4, 1994
Last certification
Sep 30, 2021
Ownership / control type
Government - County
Organization structure
OtherNon-profit
Enrollment address
210 E Purcell Ave
Canadian, TX 79014-3315

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hemphill County HospiceCCN 451603
Ownership
Government
Certified
Oct 4, 1994
Medicare certification status
ActiveFrom the Provider of Services file

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
45D0898899Hemphill County Hospice1020 South 4TH, Canadian, TX 79014Certificate of waiverMar 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hemphill Cty Hosp District11 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.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Cody G Culwell Individual W-2 Managing EmployeeMD; Apr 1, 2024
Hemphill County Hospital District Organization, Canadian, TX Operational/Managerial Control Feb 20, 2012 100%
Kelsey Jo Haley Individual Corporate OfficerCeo Jan 1, 2024
Corporate DirectorCeo Jan 1, 2024
W-2 Managing EmployeeCeo Jan 1, 2024
Ashley Morales Individual W-2 Managing EmployeeAd; Apr 1, 2024

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Hemphill County HospitalCanadian, TX, CCN 671301 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 17, 2023
Mar 17, 2023
Hemphill County HospitalCanadian, TX, CCN 67Z301 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 17, 2023
Mar 17, 2023
Windflower Health CenterAmarillo, TX, CCN 675904 Skilled nursing facility Operational/Managerial Control Feb 28, 2015
Hemphill County Hospital Home Health AgencyCanadian, TX, CCN 677427 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2012
Mar 1, 2012
Canadian Family PhysiciansCanadian, TX, CCN 673459 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 1, 2014
Jun 1, 2014
Harvester Family Medical ClinicPampa, TX, CCN 673458 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2016
Jan 1, 2016

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1881636041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S 4TH ST",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143315",
            "telephone_number": "806-323-6422",
            "fax_number": "806-323-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S 4TH ST",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143315",
            "telephone_number": "806-323-6422",
            "fax_number": "806-323-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMPHILL COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-323-6422"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "451603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000211800",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hemphill County Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hemphill County Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canadian, TX

Sources for this page

Verify at the official NPI Registry.