NPIMap

Organization Active NPI

Titus County Hospital District

Doing business as Family Care Center Mt Vernon

  • Rural Health Clinic/Center
  • Mount Vernon, TX
National Provider Identifier
1891493482
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TITUS COUNTY HOSPITAL DISTRICT
Doing business as
Family Care Center Mt Vernon
Practice address
801 Highway 37 S
Mount Vernon, TX 75457-4501
Phone
(903) 537-4548
Fax
(903) 537-2596
NPI assigned
Feb 22, 2023
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Patty Ean Boeckmann
Title
Ceo
Phone
(903) 577-6059

Specialties & licenses 1

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

Addresses

Primary practice location

801 Highway 37 S
Mount Vernon, TX 75457-4501

Mailing address

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

Other names 1

  • Family Care Center Mt Vernon Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230922000567 TX Part A Provider - Rural Health Clinic 0143203257 Practice locations: Mt Vernon, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891493482. Details of each certification follow.

Rural health clinic certification: CCN 678570

Legal name
TITUS COUNTY HOSPITAL DISTRICT
Doing business as
FAMILY CARE CENTER MT VERNON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 10, 2024
Last certification
Sep 10, 2024
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
801 Hwy 37 S
Mt Vernon, TX 75457-6597
Related CCNs
450080

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

Other NPIs with the same Medicare PAC ID 13

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

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Titus County Memorial H20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Titus County Hospital District Organization, Mt Pleasant, TX 5% Or Greater Direct Ownership Interest Mar 14, 2023 100%
Operational/Managerial Control Mar 14, 2023 100%
Kristyl Huff Individual Operational/Managerial ControlContracting Manager Jan 1, 2024
Andy Fortenberry Individual Corporate DirectorCfo Jan 1, 2022
W-2 Managing EmployeeCfo Jan 1, 2022
Operational/Managerial ControlCfo Jan 1, 2022

Owners & managing parties with NPI records 13

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

View all 13

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Titus Regional Medical CenterMt Pleasant, TX, CCN 450080 Hospital Operational/Managerial Control May 1, 1963
Titus Regional Medical CenterMt Pleasant, TX, CCN 45T080 Hospital Operational/Managerial Control (100%) Nov 1, 2009
Avir at WinnsboroWinnsboro, TX, CCN 675812 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Avir at PittsburgPittsburg, TX, CCN 675037 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2025
Titus County Hospital DistrictMount Pleasant, TX, CCN 678569 Rural health clinic Operational/Managerial Control Apr 7, 2010
Family Care Center DaingerfieldDaingerfield, TX, CCN 678571 Rural health clinic Operational/Managerial Control Apr 7, 2010
Family Care Center BogataBogata, TX, CCN 678572 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2009
Community Care Center and SpecialtiesMount Pleasant, TX, CCN 678573 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 1, 2024
Apr 7, 2010

Owned or controlled facilities with NPI records 9

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1891493482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-577-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HIGHWAY 37 S",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754574501",
            "telephone_number": "903-537-4548",
            "fax_number": "903-537-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "BOECKMANN",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "EAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-577-6059"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Center Mt Vernon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Care Center Mt Vernon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, TX

Sources for this page

Verify at the official NPI Registry.