ANDREWS COUNTY HOSPITAL DISTRICT (NPI# 1811051964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811051964 |
| Entity Type | Organization |
| Organization Name | ANDREWS COUNTY HOSPITAL DISTRICT |
| Other Organization Name | PERMIAN RESIDENTIAL CARE CENTER |
| Practice Address |
1601 Ne Mustang Dr Andrews TX 79714-3647 |
| Practice Telephone | 4324642430 |
| Practice Fax Number | 4324642572 |
| Mailing Telephone | 4324642430 |
| Mailing Fax Number | 4324642572 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2013-05-24 |
| Authorized Official Name | MR. RUSSELL TIPPIN (CEO) |
| Authorized Official Telephone | 4324642101 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANDREWS COUNTY HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 118750 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001004526 | 05 |
| Other Name | Type Code |
|---|---|
| Permian Residential Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649205857 | Andrews County Hospital District | Home Health | 1801 Ne Mustang Dr, Andrews, TX 79714-3632 | 2006-07-12 |
| 1952728990 | Andrews County Hospital District | Hospice Care, Community Based | 1801 Ne Mustang Dr, Andrews, TX 79714-3632 | 2014-03-27 |
| 1699010371 | Andrews County Hospital District | Clinic/Center | 1411 N Main St, Andrews, TX 79714-3696 | 2012-12-06 |
| 1760614432 | Andrews County Hospital District | Pharmacy | 720 Hospital Dr, Andrews, TX 79714-3617 | 2009-08-14 |
| 1740294479 | Andrews County Hospital District | Nurse Anesthetist, Certified Registered | 720 Hospital Dr, Andrews, TX 79714-3617 | 2006-07-28 |
| 1124054069 | Andrews County Hospital District | Family Medicine | 700 Hospital Dr, Andrews, TX 79714-3638 | 2006-06-23 |
| 1447286315 | Andrews County Hospital District | Emergency Medicine | 720 Hospital Dr, Andrews, TX 79714-3617 | 2006-06-23 |
| 1043254733 | Andrews County Hospital District | Durable Medical Equipment & Medical Supplies | 720 Hospital Dr, Andrews, TX 79714-3617 | 2006-06-15 |
| 1174563779 | Andrews County Hospital District | General Acute Care Hospital | 720 Hospital Dr, Andrews, TX 79714-3617 | 2006-06-08 |
| 1356398127 | Andrews County Hospital District | Medicare Defined Swing Bed Unit | 720 Hospital Dr, Andrews, TX 79714-3617 | 2006-05-27 |
| Street Address |
1601 NE MUSTANG DR |
| City | ANDREWS |
| State | TX |
| Zip Code | 79714-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578052346 | Britney Nicole Walker | Licensed Vocational Nurse | 350 Ne 1250, Andrews, TX 79714 | 2018-05-07 |
| 1114293065 | Donna Jean Rich | Nurse Practitioner | 413 Se 1st St, Andrews, TX 79714 | 2012-03-26 |
| 1578871794 | Drs E M Wright & Wright & Wright Optometrists PC | Optometrist | 1315 N Main Street, Andrews, TX 79714 | 2010-09-22 |
| 1801368311 | Rite Quality Pharmacy LLC | Pharmacy | 722 South Main Street, Andrews, TX 79714 | 2018-12-21 |
| 1518053149 | Satish Nayak | Clinic/Center | 706 Hospital Drive, Andrews, TX 79714 | 2006-10-04 |
| 1164486031 | Atul B Joshi | Orthopaedic Surgery | 3506 21st St, Suite 203, Lubbock, TX 79714 | 2006-04-17 |
| 1316329253 | Heather Danielle Vest | Counselor | 1309 Nw 14th St, Andrews, TX 79714-2607 | 2015-06-28 |
| 1457484602 | James Dale Martin | Pharmacist | 1401 Nw 7th St, Andrews, TX 79714-2801 | 2007-03-14 |
| 1336621341 | Litina Marie Griffin I | Registered Nurse | 1301 Nw 3rd St, Andrews, TX 79714-2826 | 2018-09-05 |
| 1376187625 | Wyvonee Norstun Goodwin | Registered Nurse | 200 Nw Avenue M Apt 216, Andrews, TX 79714-3524 | 2019-10-30 |
| Find all providers in zip 79714 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660471 | Castro County Hospital District | Nursing Facility/Intermediate Care Facility | 701 Butler Blvd, Dimmitt, TX 79027-2720 | 2019-07-05 |
| 1023674520 | Eunice Nadine Hall | Nursing Facility/Intermediate Care Facility | 110 W. Troupe St, Mabank, TX 75147-8651 | 2019-05-10 |
| 1467945626 | Regency Ihs of Windsor Mission Oaks LLC | Nursing Facility/Intermediate Care Facility | 3030 S Roosevelt Ave, San Antonio, TX 78214-2337 | 2018-06-12 |
| 1508363086 | Solomon Ishaq | Nursing Facility/Intermediate Care Facility | 1818 Arundel Dr, Carrollton, TX 75007-3012 | 2018-04-10 |
| 1740798651 | Mission Valley Nursing and Transitional Care LLC | Nursing Facility/Intermediate Care Facility | 1200 S Bryan Rd, Mission, TX 78572-6840 | 2018-01-12 |
| 1841738580 | Su Casa Adult Foster Home | Nursing Facility/Intermediate Care Facility | 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 | 2017-02-02 |
| 1225402753 | West Wharton County Hospital District | Nursing Facility/Intermediate Care Facility | 248 Wisteria Ln, El Campo, TX 77437-2545 | 2015-11-20 |
| 1447635040 | Sarah Padlan I | Nursing Facility/Intermediate Care Facility | 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 | 2015-07-23 |
| 1902289358 | Fnu Anushree | Nursing Facility/Intermediate Care Facility | 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 | 2015-07-02 |
| 1699154278 | Royal Manor Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 4545 S Buckner Blvd, Dallas, TX 75227-4207 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
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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.