Castro County Hospital District
Organization Active NPI Emergency Care Clinic/Center · Dimmitt, TX
NPI 1891828059 · NPPES record last updated May 10, 2023
Key facts
- NPI
- 1891828059
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Care Clinic/Center 261QE0002X
- Legal business name
- CASTRO COUNTY HOSPITAL DISTRICT
- Practice address
- 310 W Halsell St
Dimmitt, TX 79027-1846 - Phone
- (806) 647-2191
- Fax
- (806) 647-2407
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Elisha Rosier, CEO
- Title
- Ceo
- Phone
- (806) 647-2191
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 12
Practitioners 47
-
Alex Jr Escobal, NP-C
-
Sheila Higgins, NP-C
-
Susan Murray Hochstein, NP-C
-
Michael F. Ruggiero, D.O.
-
Mazin Saadaldin, M.D
-
Brandon Christian Stroh, M.D.
-
Ashley Nicole Valdez, APRN-CNP
-
Douglas L Best, MD
-
Andrea Bickerton, M.D.
-
David M Cameron, M.D.
-
Tamara Carroll, M.D.
-
Cobra Chamblee, DO
-
Mark Lewis Epstein, M.D.
-
Jason T Kimball, D.O.
-
Jonathan Samuel McDougal, M.D.
-
Kimberly Ivy Smith, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Plains Memorial Hospital |
Hospital | Operational/Managerial Control (100%) | Feb 1, 2020 |
| Plains Memorial Hospital |
Hospital | Operational/Managerial Control (100%) | Feb 1, 2020 |
| Country View Living |
Skilled nursing facility | Operational/Managerial Control (100%) Indirect Ownership Interest |
Jun 1, 2022 Apr 18, 2019 |
| Medical Center of Dimmitt |
Rural health clinic | Operational/Managerial Control (100%) | Jun 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309001224 | TX | Part B Supplier - Clinic/Group Practice | 3870404064 |
Receives reassigned benefits from 45 practitioners Practice locations: Dimmitt, TX |
National Provider Directory
- Tax ID family
- Plains Memorial Hospita
Locations
112 W Jones St
Dimmitt, TX 79027
Phone (806) 647-2194
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Yes |
Addresses
Primary practice location
310 W Halsell St
Dimmitt, TX 79027-1846
Mailing address
310 W Halsell St
Dimmitt, TX 79027-1846
Phone (806) 647-2191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035619802 | Medicaid | TX | |
| 8R5844 | Other | TX | GREGORIO MATOS MD |
| 136142012 | Medicaid | TX | |
| 8M6444 | Other | TX | DANIEL GRIFFIS MD |
| 8404N1 | Other | TX | SKYLAR BIZZELL MD |
| 87M005 | Other | TX | GARY HARDEE MD |
| 130796903 | Medicaid | TX | |
| 149387602 | Medicaid | TX | |
| 00J24A | Other | TX | BCBS ER GROUP |
Other names
- PLAINS MEMORIAL HOSPITAL
Other providers in Dimmitt, TX
- Castro County Hospital District
- Castro County Hospital District
- Castro County Hospital District
- Castro County Hospital District
- Castro County Hospital District
- Castro County Hospital District
- Castro County Hospital District
- Castro County Hospital District
- Castro County Hospital District
- Castro County Hospital District
All providers in Dimmitt, TX · Emergency Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.