NPIMap

Organization Active NPI

Titus County Hospital District

Doing business as Community Care Center and Specialties

  • Rural Health Clinic/Center
  • Mount Pleasant, TX
National Provider Identifier
1982070595
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TITUS COUNTY HOSPITAL DISTRICT
Doing business as
Community Care Center and Specialties
Community Care Center
Practice address
203 W 20TH St Ste B
Mount Pleasant, TX 75455-1102
Phone
(903) 577-2273
Fax
(903) 577-6245
NPI assigned
Aug 18, 2015
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Patty Boeckmann
Title
Ceo
Phone
(903) 577-6059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

203 W 20TH St Ste B
Mount Pleasant, TX 75455-1102

Mailing address

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

Other names 2

  • COMMUNITY CARE CENTER AND SPECIALTIES Doing business as
  • Community Care Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120525000534 TX Part B Supplier - Clinic/Group Practice 0143203257 Receives reassigned benefits from 133 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Pleasant, TX; Texarkana, TX; Mt Pleasant, TX; Mount Vernon, TX; Daingerfield, TX; Bogata, TX
O20240618003226 TX Part A Provider - Rural Health Clinic 0143203257 Practice locations: Mount Pleasant, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982070595. Details of each certification follow.

Rural health clinic certification: CCN 678573

Legal name
TITUS COUNTY HOSPITAL DISTRICT
Doing business as
COMMUNITY CARE CENTER AND SPECIALTIES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 17, 2024
Last certification
Sep 17, 2024
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Incorporated
Jan 1, 1990 in TX
Enrollment address
203 W 20TH St
Mount Pleasant, TX 75455-1101
Related CCNs
450080

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

Other NPIs with the same Medicare PAC ID 13

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

View all 13

Other NPIs on the same Medicare enrollment 14

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

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Titus Regional Medical20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

1205 Linda Dr
Daingerfield, TX 75638

1610 S Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-2273

801 Texas Highway 37 S
Mt Vernon, TX 75457
Phone (903) 537-4548

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Titus County Hospital District Organization, Mt Pleasant, TX 5% Or Greater Direct Ownership Interest Jun 1, 2024 100%
Operational/Managerial Control Apr 7, 2010 100%
Andy Fortenberry Individual Corporate OfficerCfo Feb 1, 2024 50%
Operational/Managerial ControlCfo Feb 1, 2024 50%

Owners & managing parties with NPI records 13

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

View all 13

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Titus Regional Medical CenterMt Pleasant, TX, CCN 450080 Hospital Operational/Managerial Control May 1, 1963
Titus Regional Medical CenterMt Pleasant, TX, CCN 45T080 Hospital Operational/Managerial Control (100%) Nov 1, 2009
Avir at WinnsboroWinnsboro, TX, CCN 675812 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
Avir at PittsburgPittsburg, TX, CCN 675037 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2025
Titus County Hospital DistrictMount Pleasant, TX, CCN 678569 Rural health clinic Operational/Managerial Control Apr 7, 2010
Family Care Center DaingerfieldDaingerfield, TX, CCN 678571 Rural health clinic Operational/Managerial Control Apr 7, 2010
Family Care Center Mt VernonMt Vernon, TX, CCN 678570 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 14, 2023
Mar 14, 2023
Family Care Center BogataBogata, TX, CCN 678572 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2009

Owned or controlled facilities with NPI records 9

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1982070595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-577-6000",
            "fax_number": "903-577-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W 20TH ST STE B",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754551102",
            "telephone_number": "903-577-2273",
            "fax_number": "903-577-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BOECKMANN",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-577-6059"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY CARE CENTER AND SPECIALTIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.