PALO PINTO COUNTY HOSPITAL DISTRICT (NPI# 1336124411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336124411 |
| Entity Type | Organization |
| Organization Name | PALO PINTO COUNTY HOSPITAL DISTRICT |
| Other Organization Name | FAMILY HEALTH CLINIC OF SANTO |
| Practice Address |
13965 S Fm 4 Santo TX 76472 |
| Mailing Address |
400 Sw 25th Ave Mineral Wells TX 76067-8246 |
| Practice Telephone | 9407692303 |
| Practice Fax Number | 9407692306 |
| Mailing Telephone | 9407692303 |
| Mailing Fax Number | 9403286523 |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | ROSS A KORKMAS (CEO) |
| Authorized Official Telephone | 9403257891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
000034 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 346202001 | 05 |
| Other Name | Type Code |
|---|---|
| Family Health Clinic of Santo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1609275981 | Palo Pinto County Hospital District | Skilled Nursing Facility | 7820 Sklyline Park Drive, White Settlement, TX 76108 | 2014-08-22 |
| 1548482110 | Palo Pinto County Hospital District | Family Medicine | 118 S Main Street, Gordon, TX 76453 | 2007-05-03 |
| 1477539039 | Palo Pinto County Hospital District | Home Health | 218 Sw 26th Ave, Mineral Wells, TX 76067-8248 | 2005-12-15 |
| 1972590602 | Palo Pinto County Hospital District | General Acute Care Hospital | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2005-09-27 |
| 1386043610 | Palo Pinto County Hospital District | Skilled Nursing Facility | 1000 Mckinley St, Benbrook, TX 76126-3474 | 2014-08-22 |
| 1568861888 | Palo Pinto County Hospital District | Skilled Nursing Facility | 1205 Santa Fe Dr, Weatherford, TX 76086-5819 | 2014-08-22 |
| 1114326436 | Palo Pinto County Hospital District | Skilled Nursing Facility | 200 Sw 25th Ave, Mineral Wells, TX 76067-8242 | 2014-08-22 |
| 1598164881 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6621 Dan Danciger Rd, Fort Worth, TX 76133-4905 | 2014-08-22 |
| 1205235520 | Palo Pinto County Hospital District | Skilled Nursing Facility | 806 Stephens St, Clyde, TX 79510-4554 | 2014-08-22 |
| Street Address |
13965 S FM 4 |
| City | SANTO |
| State | TX |
| Zip Code | 76472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841512 | Brett Wayne Thetford | Nurse Practitioner | 13965 S Fm 4, Santo, TX 76472-3436 | 2016-06-03 |
| 1760604359 | Palo Pinto County Hospital District | Clinic/Center | 13965 S Fm 4, Santo, TX 76067 | 2007-05-03 |
| 1215157219 | Palo Pinto County Hospital District | Clinic/Center | 13965 S Fm 4, Santo, TX 76472-0000 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972800019 | Santo Volunteer Fire and Ems Department | Ambulance | 1250 Fm 2201, Santo, TX 76472 | 2011-02-25 |
| 1861659278 | Kimberly Ann Jones | Occupational Therapy Assistant | 1620 N Bosley Rd, Santo, TX 76472 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760604359 | Palo Pinto County Hospital District | Clinic/Center | 13965 S Fm 4, Santo, TX 76067 | 2007-05-03 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.