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Titus County Hospital District

Organization Active NPI Rural Health Clinic/Center · Mount Vernon, TX

NPI 1891493482 · NPPES record last updated Apr 27, 2026

Key facts

NPI
1891493482
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
TITUS COUNTY HOSPITAL DISTRICT
Practice address
801 Highway 37 S
Mount Vernon, TX 75457-4501
Phone
(903) 537-4548
Fax
(903) 537-2596
NPI assigned
Feb 22, 2023
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 13

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

Owned or controlled facilities with NPI records 9

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

Other NPIs with the same Medicare PAC ID 13

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

Corporate family (same tax ID) 19

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

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

Facilities with the same owner 8

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

Practitioners 107

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

View all 107

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

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
Other · Non-profit
Enrollment address
801 Hwy 37 S
Mt Vernon, TX 75457-6597
Related CCNs
450080

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 Control
Contracting Manager		 Jan 1, 2024
Andy Fortenberry
Individual 		Corporate Director
Cfo		 Jan 1, 2022
W-2 Managing Employee
Cfo		 Jan 1, 2022
Operational/Managerial Control
Cfo		 Jan 1, 2022

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 Center
Mt Pleasant, TX · CCN 450080		 Hospital Operational/Managerial Control May 1, 1963
Titus Regional Medical Center
Mt Pleasant, TX · CCN 45T080		 Hospital Operational/Managerial Control (100%) Nov 1, 2009
Avir at Winnsboro
Winnsboro, TX · CCN 675812		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Avir at Pittsburg
Pittsburg, TX · CCN 675037		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2025
Titus County Hospital District
Mount Pleasant, TX · CCN 678569		 Rural health clinic Operational/Managerial Control Apr 7, 2010
Family Care Center Daingerfield
Daingerfield, TX · CCN 678571		 Rural health clinic Operational/Managerial Control Apr 7, 2010
Family Care Center Bogata
Bogata, TX · CCN 678572		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2009
Community Care Center and Specialties
Mount Pleasant, TX · CCN 678573		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 1, 2024
Apr 7, 2010

Medicare enrollment records

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

National Provider Directory

Tax ID family
Titus Cty Hosp District (20 organizations share this tax ID)

Specialties & licenses

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

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

  • Family Care Center Mt Vernon Doing business as

Other providers in Mount Vernon, TX

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

Sources for this page

Verify at the official NPI Registry.