NPIMap

Organization Active NPI

Palo Pinto County Hospital District

Doing business as Community Care Center

  • Family Medicine Physician
  • Mineral Wells, TX
National Provider Identifier
1922056993
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
000034 Issued in TX
Legal business name
PALO PINTO COUNTY HOSPITAL DISTRICT
Doing business as
Community Care Center
Gordon Family Health
Mineral Wells Family Health4 more in Other names
Practice address
400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone
(940) 325-7891
Fax
(940) 328-7529
NPI assigned
May 4, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Ross Korkmas
Title
Ceo
Phone
(940) 325-7891

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 000034 TX Primary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

400 SW 25TH Ave
Mineral Wells, TX 76067-8246

Mailing address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

Other practice location 1

400 SW 25th Ave
Mineral Wells, TX 76067-8246
Phone (940) 745-0484

Other practice location 2

13965 S Fm 4
Santo, TX 76472-3436
Phone (940) 769-2303

Other practice location 3

202 SW 25th Ave Ste 1000
Mineral Wells, TX 76067-8467
Phone (940) 328-7561

Other practice location 4

101 Holly Hill Rd
Mineral Wells, TX 76067-5043
Phone (940) 463-7092

Other practice location 5

202 SW 25th Ave Ste 700
Mineral Wells, TX 76067-8459
Phone (940) 328-7588

Other practice location 6

118 S Main St
Gordon, TX 76453-1114
Phone (254) 693-5211

Other practice location 7

202 SW 25th Ave Ste 300
Mineral Wells, TX 76067-8299
Phone (940) 328-6521

Other practice location 8

55 S Fm 2353 Ste A
Graford, TX 76449-3251
Phone (940) 664-2169

Other names 7

  • COMMUNITY CARE CENTER Doing business as
  • GORDON FAMILY HEALTH Doing business as
  • MINERAL WELLS FAMILY HEALTH Doing business as
  • PALO PINTO GENERAL HOSPITAL Doing business as
  • PALO PINTO MOBILE CLINIC Doing business as
  • POSSUM KINGDOM FAMILY HEALTH Doing business as
  • SANTO FAMILY HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000393 TX Part B Supplier - Clinic/Group Practice 5890602759 Receives reassigned benefits from 84 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mineral Wells, TX; Santo, TX; Graford, TX; Gordon, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 72

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.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1922056993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-325-7891",
            "fax_number": "940-328-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-325-7891",
            "fax_number": "940-328-7529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 SW 25th Ave",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678246",
            "country_code": "US",
            "telephone_number": "940-745-0484",
            "fax_number": "940-328-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13965 S Fm 4",
            "address_purpose": "LOCATION",
            "city": "Santo",
            "state": "TX",
            "postal_code": "764723436",
            "country_code": "US",
            "telephone_number": "940-769-2303",
            "fax_number": "940-769-2306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 SW 25th Ave Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678467",
            "country_code": "US",
            "telephone_number": "940-328-7561",
            "fax_number": "940-328-7562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Holly Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760675043",
            "country_code": "US",
            "telephone_number": "940-463-7092",
            "fax_number": "940-463-7096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 SW 25th Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678459",
            "country_code": "US",
            "telephone_number": "940-328-7588",
            "fax_number": "940-328-7589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 S Main St",
            "address_purpose": "LOCATION",
            "city": "Gordon",
            "state": "TX",
            "postal_code": "764531114",
            "country_code": "US",
            "telephone_number": "254-693-5211",
            "fax_number": "254-693-5774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 SW 25th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678299",
            "country_code": "US",
            "telephone_number": "940-328-6521",
            "fax_number": "940-328-7501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 S Fm 2353 Ste A",
            "address_purpose": "LOCATION",
            "city": "Graford",
            "state": "TX",
            "postal_code": "764493251",
            "country_code": "US",
            "telephone_number": "940-664-2169",
            "fax_number": "940-664-2173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALO PINTO COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "KORKMAS",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-325-7891"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "000034",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GORDON FAMILY HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MINERAL WELLS FAMILY HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALO PINTO GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALO PINTO MOBILE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POSSUM KINGDOM FAMILY HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SANTO FAMILY HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.