NPIMap

Organization Active NPI

Palo Pinto Hospital District Community Clinic

  • Public Health or Welfare Agency
  • Mineral Wells, TX
National Provider Identifier
1962450692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PALO PINTO HOSPITAL DISTRICT COMMUNITY CLINIC
Practice address
218 B S. W. 26TH Ave
Mineral Wells, TX 76088
Phone
(940) 328-0820
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tim R Tarkenton, MD
Title
Medical Director
Phone
(940) 328-0820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

218 B S. W. 26TH Ave
Mineral Wells, TX 76088

Mailing address

218 B S. W. 26TH Ave
Mineral Wells, TX 76088
Phone (940) 328-0820

National Provider Directory

National Provider Directory
Tax ID family
Palo Pinto Hospital District Community Clinic26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

218 SW 26th Ave
Ste B
Mineral Wells, TX 76067
Phone (940) 328-0820

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962450692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 B S. W. 26TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "76088",
            "telephone_number": "940-328-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 B S. W. 26TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "76088",
            "telephone_number": "940-328-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO PINTO HOSPITAL DISTRICT COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TARKENTON",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "940-328-0820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.