PARKER COUNTY HOSPITAL DISTRICT
NPI 1194598110
Clinic/Center in Weatherford, TX

Active since November 01, 2023CLIA 45D2183744 · Waiver
1115 PECAN DR, WEATHERFORD, TX 76086(817) 458-3335 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2025, Nov 1, 2023 (2 updates tracked since 2023).

About Parker County Hospital District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARKER COUNTY HOSPITAL DISTRICT (NPI 1194598110), doing business as Telemedicine Program, is a healthcare organization registered as a clinic/center in Weatherford, Texas and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Randy Bacus, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194598110
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePARKER COUNTY HOSPITAL DISTRICT
Location Address1115 PECAN DRWeatherford, TX 76086-5775
Mailing Address1130 Pecan DrWeatherford, TX 76086-5774
Organization SubpartYes
Authorized OfficialRandy BacusCeo · (817) 341-2520
Enumeration DateNovember 1, 2023
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1194598110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1115 PECAN DR, Weatherford, TX 76086

Other Names 1

Doing Business AsTelemedicine Program

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Parker County Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Parker County Hospital District, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner5
Family Practice3
Mental Health Counselor1
Pediatric Medicine1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1982286407
1115 PECAN DR
Weatherford, TX 76086
(817) 458-3254
✔ PECOS0.2 mi
Family Practice
NPI 1942204847
1115 PECAN DR
Weatherford, TX 76086
(817) 458-3254
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1659796654
1212 CLEAR LAKE RD
Weatherford, TX 76086
(817) 458-3300
✔ PECOS0.3 mi
Family Practice
NPI 1881629624
1517 TEXAS DR
Weatherford, TX 76086
(817) 458-3300
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1013334408
1517 TEXAS DR
Weatherford, TX 76086
(817) 458-3300
✔ PECOS0.4 mi
Family Practice
NPI 1780681114
1517 TEXAS DRIVE
Weatherford, TX 76086
(817) 458-3300
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1407533623
1517 TEXAS DRIVE
Weatherford, TX 76086
(817) 458-3300
✔ PECOS0.4 mi
Pediatric Medicine
NPI 1093703902
1836 SANTA FE DR
Weatherford, TX 76086
(817) 596-3500
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1649708108
109 MEADOW GLEN CT
Aledo, TX 76008
(817) 975-8470
✔ PECOS9.4 mi
Mental Health Counselor
NPI 1912449612
285 SABINAL ST
Boling, TX 77420
(979) 533-6874
✔ PECOS267 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2183744

Parker County Hospital District Outreach Program · Weatherford, TX
Active · expires May 7, 2028
CLIA Number45D2183744
Laboratory TypeMobile Laboratory
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorJames S. Welch
Laboratory Phone(817) 599-1230
Laboratory LocationParker County Hospital District Outreach Program1130 Pecan St, Weatherford, TX 76086
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Parker County Hospital District's NPI number?

The NPI number for Parker County Hospital District is 1194598110. It was assigned to this organization in the NPPES registry on November 1, 2023. The provider is doing business as Telemedicine Program.

Where is Parker County Hospital District located?

Parker County Hospital District is located at 1115 Pecan Dr, Weatherford, TX 76086. The listed phone number is (817) 458-3335.

What is Parker County Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Parker County Hospital District enrolled in Medicare?

Yes. Parker County Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Parker County Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Parker County Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (3) and Mental Health Counselor (1). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Parker County Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2183744) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Parker County Hospital District was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.