NPIMap

Methodist Hospital Plainview Texas

Organization Active NPI Rural Health Clinic/Center · Plainview, TX

NPI 1891258877 · NPPES record last updated May 8, 2025

Key facts

NPI
1891258877
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
METHODIST HOSPITAL PLAINVIEW TEXAS
Practice address
1208 N I27
Plainview, TX 79072-3937
Phone
(806) 291-5112
NPI assigned
Apr 8, 2019
Organization subpart
No

Authorized official

Name
Donald Wayne Anderson Jr.
Title
Assistant Secretary of Enrollments
Phone
(425) 358-9786

Owners & managing parties with NPI records 2

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

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 6

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

Corporate family (same tax ID) 7

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

Facilities with the same owner 140

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

View all 140

Practitioners 21

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Rural health clinic certification: CCN 673485

Legal name
METHODIST HOSPITAL PLAINVIEW TEXAS
Doing business as
COVENANT FAMILY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 11, 2020
Last certification
Aug 11, 2020
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Enrollment address
1208 N I27
Plainview, TX 79072-3937
Related CCNs
450539

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Kathleen Burrell
Individual 		Corporate Officer
Corporate Secretary		 Mar 1, 2023
Mark Bacher
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Randall Kaufman
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Riley True
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Kimberlee Bentley
Individual 		Corporate Director
Board Member		 Jan 1, 2024
John Tye
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Joshua W Rollins
Individual 		Corporate Director
Board Member		 Jan 1, 2020
Norma Galvan
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Christopher Williams
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Dennis Dipprey
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Providence Health & Services - Washington
Organization · Renton, WA
Corporation, Non-profit 		Operational/Managerial Control Nov 1, 2020
Covenant Health System
Organization · Lubbock, TX
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Sep 3, 2019 100%
Cora Rivera
Individual 		Corporate Officer
Cfo		 Oct 31, 2023
Lubbock Methodist Hospital System
Organization · Lubbock, TX
Corporation, Non-profit 		Other Sep 3, 2019 43%
Anthony Longoria
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Cassie Dale Mogg
Individual 		Corporate Officer
Ceo		 Jan 1, 2021
Corporate Director
Board Member		 Jan 1, 2025
Donald Wayne Anderson
Individual 		Corporate Officer
Assistant Secretary of Enrollments		 Nov 1, 2020
Gregory David Hoffman
Individual 		Corporate Officer
Cfo/Treasurer		 Oct 1, 2020
St. Joseph Health System
Organization · Irvine, CA
Corporation, Non-profit 		Other Sep 3, 2019 57%
Dyana Kerr
Individual 		W-2 Managing Employee
Regional Financial Executive		 Mar 1, 2023
Sheron Collins
Individual 		Corporate Director
Board Member		 Feb 22, 2022
Providence St. Joseph Health
Organization · Renton, WA
Corporation, Non-profit 		Other Sep 3, 2019

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Covenant West Texas Family Medicine of Hale Center
Hale Center, TX · CCN 678553		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190529001505 TX Part a Provider - Rural Health Clinic 0749179521 Practice locations: Plainview, TX

National Provider Directory

Tax ID family
Methodist Hospital Plainview Texas (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

1208 N I27
Plainview, TX 79072-3937

Mailing address

PO Box 677044
Dallas, TX 75267-7044

Other names

  • Covenant Family Medical Clinic Doing business as

Other providers in Plainview, TX

All providers in Plainview, TX · Rural Health Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.