Hansford County Hospital District
Organization Active NPI Community Based Hospice Care Agency · Spearman, TX
NPI 1942297494 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1942297494
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 002215 (TX)
- Legal business name
- HANSFORD COUNTY HOSPITAL DISTRICT
- Practice address
- 712 Roland St
Spearman, TX 79081-3442 - Phone
- (806) 659-5811
- Fax
- (806) 659-5844
- NPI assigned
- Sep 30, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- HANSFORD COUNTY HOSPITAL DISTRICT
Authorized official
- Name
- Mr. Blake Fitzgearld
- Title
- Cfo
- Phone
- (806) 659-1111
Owners & managing parties with NPI records 8
Owned or controlled facilities with NPI records 6
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 12
Facilities with the same owner 4
Practitioners 5
-
Mark Hamilton Garnett, D.O.
-
Wilhma Elizabeth Macias, FNP-C
-
Abbi Messer, DO
-
Mandie Denise Vega, FNP-C
-
Abdullah Aftab Dar, M.D.
Affiliated clinicians 2
-
Mark Hamilton Garnett, D.O.
-
Abbi Messer, DO
Medicare Care Compare: Hospice
- Listed as
- Hansford Hospice
- Ownership
- Combination Government & Non-Profit
- Certified
- Jul 9, 1991
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospice certification: CCN 451550
- Legal name
- HANSFORD COUNTY HOSPITAL DISTRICT
- Doing business as
- HANSFORD HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 9, 1991
- Last certification
- Jan 8, 2020
- Ownership / control type
- Combination Government and Nonprofit
- Organization structure
- Government · Non-profit
- Enrollment address
- 712 Roland St
Hansford Hospice
Spearman, TX 79081-3442
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Jonathan C Bailey |
Corporate Officer |
Feb 24, 2010 | |
| W-2 Managing Employee |
Feb 24, 2010 | ||
| Blythe Boyd |
W-2 Managing Employee |
May 21, 2013 | |
| Blake Fitzgearld |
Corporate Officer |
Mar 1, 2021 | |
| W-2 Managing Employee | Mar 1, 2021 | ||
| Crystal Walls |
W-2 Managing Employee |
Sep 1, 2013 | |
| Hansford County Hospital District |
Operational/Managerial Control | Nov 11, 2013 | 100% |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Hansford County Hospital |
Hospital | Other (100%) | Sep 15, 2010 |
| Hansford County Hospital |
Hospital | Other (100%) | Sep 15, 2010 |
| The Plaza at Lubbock |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| Hansford County Hospital District Dba Lakeridge Rehab and Nursing Cent |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Mi Casita Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2018 |
| Family Medical Clinic of Hansford County |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 9, 1996 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081201000572 | TX | Part a Provider - Hospice | 5698723682 | Practice locations: Spearman, TX |
National Provider Directory
- Tax ID family
- Palo Duro Medical Clini
- Part of
- Palo Duro Medical Clini
Locations
707 Roland St
Spearman, TX 79081
Phone (806) 659-2535
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 002215 | TX | Yes |
Addresses
Primary practice location
712 Roland St
Spearman, TX 79081-3442
Mailing address
707 Roland St
Spearman, TX 79081-3441
Phone (806) 659-5811
Other names
- Hansford Hospice
Other providers in Spearman, TX
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford County Hospital District
- Hansford Drug Company Inc
- Hansford Manor
- Julie Howell
- Phillip Michael Lozano
All providers in Spearman, TX · Community Based Hospice Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.