COON MEMORIAL HOSPITAL (DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT) NPI 1639176456
General Acute Care Hospital (Critical Access) in Dalhart, TX
About COON MEMORIAL HOSPITAL (DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT)
Coon Memorial Hospital (dallam-hartley Counties Hospital District) is a provider established in Dalhart, Texas specializing in general acute care hospital (critical access) . The NPI number of Coon Memorial Hospital (dallam-hartley Counties Hospital District) is 1639176456 and was assigned on July 2005. The practitioner's primary taxonomy code is 282NC0060X with license number 000262 (TX). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Coon Memorial Hospital. The authorized official of this NPI record is Ms. Loree Tamayo (Ceo)
According to the Nursing Home Compare program data, Coon Memorial Hospital has an average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 3 out of 5 stars provide a snapshot of this nursing home quality.
The CLIA number of Coon Memorial Hospital is 45D0670170 registered as a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Coon Memorial Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
NPI | 1639176456 |
Provider Name | COON MEMORIAL HOSPITAL (DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT) |
Provider Location Address | 1411 DENVER AVE DALHART, TX 79022 |
Provider Mailing Address | PO BOX 2014 DALHART, TX 79022 |
NPI Entity Type | Organization |
Is Sole Proprietor? | N/A |
Is Organization Subpart? | No |
Other Organization Name | COON MEMORIAL HOSPITAL |
Other Name Type | Doing Business As (3) |
Enumeration Date | 07-07-2005 |
Last Update Date | 07-06-2018 |
Primary Taxonomy
Taxonomy Code | 282NC0060X |
Classification | General Acute Care Hospital |
Type | Hospitals |
Specialization | Critical Access |
License No. | 000262 |
License State | TX |
Taxonomy Description | Definition to come. |
Business Address
COON MEMORIAL HOSPITAL
1411 DENVER AVE
DALHART, TX
ZIP 79022
Phone: (806) 244-4571
Fax: (806) 244-5013
Mailing Address
COON MEMORIAL HOSPITAL
PO BOX 2014
DALHART, TX
ZIP 79022
Phone: (806) 244-4571
Fax: (806) 244-5013
Nursing Home Compare Information
The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1639176456 is:
CLIA Number | 45D0670170 |
Facility Type | HOSPITAL |
Certificate Type | Certificate of Accreditation |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
---|---|---|---|---|---|---|---|
1 | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | 000262 | TX | No | |
Taxonomy Description: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State |
---|---|---|
1308264-04 | MEDICAID (05) | TX |
1308264-07 | MEDICAID (05) | TX |
00N39T | OTHER (01) | TX |
131941100 | OTHER (01) | |
HH0041 | OTHER (01) | |
1308264-01 | MEDICAID (05) | TX |
1308264-02 | MEDICAID (05) | TX |
0007577-01 | MEDICAID (05) | TX |
130826401 | OTHER (01) | |
AMB527 | OTHER (01) | |
00C62V | OTHER (01) | TX |
103144100 | OTHER (01) | |
130826407 | OTHER (01) |
Other Providers at the same location
The following 18 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1457474660 | MRS. KATHY M KELSO M.S. CCC-SLP Individual | Speech-Language Pathologist | 1411 DENVER AVE DALHART, TX 79022 (806) 244-4571 |
1265766133 | TANYA SMITH P.T.A Individual | Physical Therapy Assistant | 1411 DENVER AVE DALHART, TX 79022 (806) 244-4571 |
1942610514 | KATY ANN SAWYER PTA Individual | Physical Therapy Assistant | 1411 DENVER AVE DALHART, TX 79022 (806) 244-0015 |
1629478466 | DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT Organization | Pharmacy (Institutional Pharmacy) | 1411 DENVER AVE DALHART, TX 79022 (806) 244-4571 |
1356671630 | KARL ANTHONY SIMON P.A. Individual | Physician Assistant | 1411 DENVER AVE DALHART, TX 79022 (806) 244-9267 |
1336262831 | DALLAM- HARTLEY COUNTIES HOSPITAL DISTRICT Organization | General Acute Care Hospital (Critical Access) | 1411 DENVER AVE DALHART, TX 79022 (806) 244-4571 |
1629248943 | DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT Organization | Durable Medical Equipment & Medical Supplies | 1411 DENVER AVE DALHART, TX 79022 (806) 244-4571 |
1164900999 | BIANCA CRYSTAL RETANA COTA Individual | Occupational Therapy Assistant | 1411 DENVER AVE DALHART, TX 79022 (806) 244-0016 |
1104323336 | JASON BEN WU NP-C Individual | Nurse Practitioner (Family) | 1411 DENVER AVE DALHART, TX 79022 (806) 244-4571 |
1609341338 | BARBARA ELAINE LEDBETTER Individual | Registered Nurse (Registered Nurse First Assistant) | 1411 DENVER AVE DALHART, TX 79022 (806) 244-9241 |
1124596499 | HCC OF DALHART LLC Organization | Internal Medicine | 1411 DENVER AVE DALHART, TX 79022 (806) 244-4571 |
1154899425 | ESS OF DALHART LLC Organization | Emergency Medicine | 1411 DENVER AVE DALHART, TX 79022 (806) 244-4571 |
1710445390 | JONATHAN PAUL SOMMER Individual | Physical Medicine & Rehabilitation | 1411 DENVER AVE DALHART, TX 79022 (346) 305-9738 |
1073151882 | BROOK MARIE ANDERSON PA Individual | Physician Assistant | 1411 DENVER AVE DALHART, TX 79022 (806) 244-4571 |
1871133561 | LEAH BREEANN FORD APRN Individual | Emergency Medicine (Emergency Medical Services) | 1411 DENVER AVE DALHART, TX 79022 (512) 869-9298 |
1245353747 | DALLAM HARTLEY COUNTIES HOSPITAL DISTRICT Organization | General Acute Care Hospital (Critical Access) | 1411 DENVER AVE DALHART, TX 79022 (806) 244-4571 |
1649887308 | AMBER DON DURAN LMSW Individual | Social Worker | 1411 DENVER AVE DALHART, TX 79022 (806) 244-4571 |
1184631947 | JASON MAYFIELD WRIGHT MPAS, PA-C Individual | Physician Assistant (Medical) | 1411 DENVER AVE DALHART, TX 79022 (806) 244-9251 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.