NPIMap

Organization Active NPI

Palo Pinto County Hospital District

Doing business as Palo Pinto General Hospital

  • General Acute Care Hospital
  • Mineral Wells, TX
National Provider Identifier
1972590602
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
34 Issued in TX
Legal business name
PALO PINTO COUNTY HOSPITAL DISTRICT
Doing business as
Palo Pinto General Hospital
Palo Pinto Mammography & Womens Wellness
Palo Pinto Urology1 more in Other names
Practice address
400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone
(940) 325-7891
Fax
(940) 325-7903
NPI assigned
Sep 27, 2005
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 34 TX Primary
Rural Acute Care Hospital 282NR1301X 000034 TX

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

218 SW 26th Ave
Mineral Wells, TX 76067-8248
Phone (940) 463-7108

Other practice location 2

202 SW 25th Ave Ste 1200
Mineral Wells, TX 76067-8461
Phone (940) 463-7229

Other practice location 3

101 Holly Hill Rd Ste B
Mineral Wells, TX 76067-5005
Phone (940) 463-7101

Other identifiers 2

IdentifierTypeStateIssuer
138950412MedicaidTX
HH0630OtherTXBCBS

Other names 4

  • PALO PINTO GENERAL HOSPITAL Doing business as
  • PALO PINTO MAMMOGRAPHY & WOMENS WELLNESS Doing business as
  • PALO PINTO UROLOGY Doing business as
  • PALO PINTO WOUND CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070220000699 TX Part A Provider - Hospital 5890602759 Practice locations: Mineral Wells, TX
O20070220000710 TX Part A Provider - Hospital 5890602759 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mineral Wells, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1972590602. Details of each certification follow.

Hospital certification: CCN 450565

Legal name
PALO PINTO COUNTY HOSPITAL DISTRICT
Doing business as
PALO PINTO GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 1968
Last certification
Oct 17, 2014
Beds
99
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
400 SW 25TH Ave
Palo Pinto General Hospital
Mineral Wells, TX 76067-8246
Other Hospital Practice Location
Hospital subgroups
Acute care

Hospital certification: CCN 45U565

Legal name
PALO PINTO COUNTY HOSPITAL DISTRICT
Doing business as
PALO PINTO GENERAL HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Palo Pinto General HospitalCCN 450565 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

202 SW 25th Ave
Ste 1200
Mineral Wells, TX 76067
Phone (940) 325-3706

218 SW 26th Ave
Mineral Wells, TX 76067
Phone (940) 325-4471

320 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 328-6580

Ownership & related parties

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
Ross a Korkmas Individual Corporate OfficerChief Executive Officer Aug 6, 2019
W-2 Managing EmployeeChief Executive Officer Aug 6, 2019
Palo Pinto County Hospital District Organization, Mineral Wells, TX Operational/Managerial Control Feb 7, 2007
Operational/Managerial Control Jun 13, 1968
Douglas Selsor Individual Corporate OfficerChief Financial Officer May 19, 2025
W-2 Managing EmployeeChief Financial Officer May 19, 2025

Owners & managing parties with NPI records 16

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

View all 16

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Palo Pinto General HospitalMineral Wells, TX, CCN 45U565 Hospital Operational/Managerial Control Jun 13, 1968
White Settlement Nursing CenterWhite Settlement, TX, CCN 455475 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Wedgewood Nursing HomeFort Worth, TX, CCN 455572 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Santa Fe Health & Rehabilitation CenterWeatherford, TX, CCN 455957 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Palo Pinto Nursing CenterMineral Wells, TX, CCN 455961 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Clyde Nursing CenterClyde, TX, CCN 675038 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Benbrook Nursing and Rehabilitation CenterBenbrook, TX, CCN 675906 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014
Heritage House at Keller Rehab and NursingKeller, TX, CCN 675153 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Windcrest Health & RehabilitationAbilene, TX, CCN 676219 Skilled nursing facility Operational/Managerial Control Apr 1, 2017
Mineral Wells Family HealthMineral Wells, TX, CCN 458832 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2003
Community Care CenterMineral Wells, TX, CCN 458653 Rural health clinic Operational/Managerial Control (100%) Jan 1, 1990
Gordon Family HealthGordon, TX, CCN 458548 Rural health clinic Operational/Managerial Control (100%) Sep 1, 1994
Santo Family HealthSanto, TX, CCN 673416 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012

Owned or controlled facilities with NPI records 13

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

View all 13

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 44

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 44

Affiliated clinicians 152

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 152

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1972590602",
    "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": "940-328-7529"
        },
        {
            "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": "940-325-7903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 SW 26th Ave",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678248",
            "country_code": "US",
            "telephone_number": "940-463-7108",
            "fax_number": "940-463-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 SW 25th Ave Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678461",
            "country_code": "US",
            "telephone_number": "940-463-7229",
            "fax_number": "940-463-7232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Holly Hill Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760675005",
            "country_code": "US",
            "telephone_number": "940-463-7101",
            "fax_number": "940-463-7102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALO PINTO COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "34",
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TX",
            "license": "000034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138950412",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH0630",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALO PINTO GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALO PINTO MAMMOGRAPHY & WOMENS WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALO PINTO UROLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALO PINTO WOUND CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.