NPIMap

Organization Active NPI

Muleshoe Area Hospital District

Doing business as Muleshoe Area Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Muleshoe, TX
National Provider Identifier
1881794501
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
000631 Issued in TX
Legal business name
MULESHOE AREA HOSPITAL DISTRICT
Doing business as
Muleshoe Area Medical Center
Practice address
708 S 1St St
Muleshoe, TX 79347-3627
Phone
(806) 272-4524
Fax
(806) 272-4938
NPI assigned
Sep 23, 2006
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MULESHOE AREA HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Mr. Dennis Fleenor
Title
Ceo/Administrator
Phone
(806) 272-4524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000631 TX Primary

Addresses

Primary practice location

708 S 1St St
Muleshoe, TX 79347-3627

Mailing address

708 S 1St St
Muleshoe, TX 79347-3627
Phone (806) 272-4524

Other identifiers 1

IdentifierTypeStateIssuer
1003860MedicaidTX

Other names 1

  • Muleshoe Area 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
O20240309000545 TX Part A Provider - Critical Access Hospital 8820906167 Practice locations: Muleshoe, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881794501. Details of each certification follow.

Hospital certification: CCN 45Z372

Legal name
MULESHOE AREA HOSPITAL DISTRICT
Doing business as
MULESHOE AREA MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
708 S 1St St
Muleshoe, TX 79347-3627
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Part of
Medical Clinic of Mules

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Robbie Dewberry Individual Corporate DirectorChief Financial Officer Nov 1, 2023
W-2 Managing EmployeeChief Financial Officer Nov 1, 2023
Operational/Managerial ControlChief Financial Officer Nov 1, 2023
Allen Allen Smyer Individual Corporate OfficerBoard President Dec 29, 2011
Landon Nichols Individual Corporate OfficerBoard Vice President May 24, 2012
Scott Miller Individual Corporate OfficerBoard Member May 26, 2022
Muleshoe Area Hospital District Organization, Muleshoe, TX Operational/Managerial Control Mar 1, 2024
Gayle Richerson Individual Corporate OfficerBoard Secretary May 25, 2023
Dennis J Fleenor Individual Corporate DirectorChief Executive Officer Mar 3, 2016
W-2 Managing EmployeeChief Executive Officer Mar 3, 2016
Operational/Managerial ControlChief Executive Officer Mar 3, 2016

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Muleshoe Area Medical CenterMuleshoe, TX, CCN 451372 Hospital Operational/Managerial Control Mar 1, 2024
Park View Nursing Care CenterMuleshoe, TX, CCN 676079 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2006
Medical Clinic of MuleshoeMuleshoe, TX, CCN 673430 Rural health clinic Operational/Managerial Control Mar 1, 2024

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 2

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": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1881794501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S 1ST ST",
            "city": "MULESHOE",
            "state": "TX",
            "postal_code": "793473627",
            "telephone_number": "806-272-4524",
            "fax_number": "806-272-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S 1ST ST",
            "city": "MULESHOE",
            "state": "TX",
            "postal_code": "793473627",
            "telephone_number": "806-272-4524",
            "fax_number": "806-272-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULESHOE AREA HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MULESHOE AREA HOSPITAL DISTRICT",
        "enumeration_date": "2006-09-23",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "FLEENOR",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "806-272-4524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "000631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003860",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muleshoe Area Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Muleshoe Area Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muleshoe, TX

Sources for this page

Verify at the official NPI Registry.