COON MEMORIAL HOSPITAL (DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT) NPI 1639176456

General Acute Care Hospital (Critical Access) in Dalhart, TX

Organization General Acute Care Hospital Critical Access CLIA Number 45D0670170 CLIA Certificate of Accreditation Overall Rating

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 2 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 NameCOON MEMORIAL HOSPITAL (DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT)
Provider Location Address1411 DENVER AVE DALHART, TX 79022
Provider Mailing AddressPO BOX 2014 DALHART, TX 79022
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCOON MEMORIAL HOSPITAL
Other Name TypeDoing Business As (3)
Enumeration Date07-07-2005
Last Update Date07-06-2018

Primary Taxonomy

Taxonomy Code282NC0060X
ClassificationGeneral Acute Care Hospital
TypeHospitals
SpecializationCritical Access
License No.000262
License StateTX
Taxonomy DescriptionDefinition to come.

Business Address

COON MEMORIAL HOSPITAL
1411 DENVER AVE
DALHART, TX
ZIP 79022
Phone: (806) 244-4571
Fax: (806) 244-5013

Get Directions

Mailing Address

COON MEMORIAL HOSPITAL
PO BOX 2014
DALHART, TX
ZIP 79022
Phone: (806) 244-4571
Fax: (806) 244-5013

Authorized Official

Authorized Official NameMS. LOREE TAMAYO
Authorized Official TitleCEO
Authorized Official Phone(806) 244-4571

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.

Overall Quality Rating Overall Quality Rating
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
- 3 out of 5 stars - Average
Health Inspection Rating Health Inspection Rating
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
- 4 out of 5 stars - Above Average
Quality Measures Rating Quality Measures Rating
The quality measures star rating is based on data from a select set of clinical measures.
- 1 out of 5 stars - Much Below Average
Long-Stay Quality Measures Rating Long-Stay Quality Measures Rating
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
- 1 out of 5 stars - Much Below Average
Staffing Rating Staffing Rating
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
- 3 out of 5 stars - Average
Nurse Staffing Hours3.95 hours per resident per day
RN Staffing Rating RN Staffing Rating
The RN staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs).
- 3 out of 5 stars - Average
RN Staffing Hours0.66 hours per resident per day
Ownership TypeGovernment - Hospital district
Number of Certified Beds77 beds
Average Number of Residents per Day51 residents
Automatic Sprinkler Systems in Required AreasYes
Facility Reported Incidents0 incidents
Substantiated Complaints0 complaints
Number of Fines0 fines
Amount of Fines$0.00

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 Number45D0670170
Facility TypeHOSPITAL
Certificate TypeCertificate 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
1314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility000262TXNo

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
1308264-04MEDICAID (05)TX
1308264-07MEDICAID (05)TX
00N39TOTHER (01)TX
131941100OTHER (01)
HH0041OTHER (01)
1308264-01MEDICAID (05)TX
1308264-02MEDICAID (05)TX
0007577-01MEDICAID (05)TX
130826401OTHER (01)
AMB527OTHER (01)
00C62VOTHER (01)TX
103144100OTHER (01)
130826407OTHER (01)

Other Providers at the same location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073151882 BROOK MARIE ANDERSON PA
Individual
Physician Assistant1411 DENVER AVE
DALHART, TX 79022
(806) 244-4571
1104323336 JASON BEN WU NP-C
Individual
Nurse Practitioner (Family)1411 DENVER AVE
DALHART, TX 79022
(806) 244-4571
1124596499HCC OF DALHART LLC
Organization
Internal Medicine1411 DENVER AVE
DALHART, TX 79022
(806) 244-4571
1154899425ESS OF DALHART LLC
Organization
Emergency Medicine1411 DENVER AVE
DALHART, TX 79022
(806) 244-4571
1164900999 BIANCA CRYSTAL RETANA COTA
Individual
Occupational Therapy Assistant1411 DENVER AVE
DALHART, TX 79022
(806) 244-0016
1184631947 JASON MAYFIELD WRIGHT MPAS, PA-C
Individual
Physician Assistant (Medical)1411 DENVER AVE
DALHART, TX 79022
(806) 244-9251
1245353747DALLAM HARTLEY COUNTIES HOSPITAL DISTRICT
Organization
General Acute Care Hospital (Critical Access)1411 DENVER AVE
DALHART, TX 79022
(806) 244-4571
1265766133 TANYA SMITH P.T.A
Individual
Physical Therapy Assistant1411 DENVER AVE
DALHART, TX 79022
(806) 244-4571
1336262831DALLAM- HARTLEY COUNTIES HOSPITAL DISTRICT
Organization
General Acute Care Hospital (Critical Access)1411 DENVER AVE
DALHART, TX 79022
(806) 244-4571
1356671630 KARL ANTHONY SIMON P.A.
Individual
Physician Assistant1411 DENVER AVE
DALHART, TX 79022
(806) 244-9267
1457474660MRS. KATHY M KELSO M.S. CCC-SLP
Individual
Speech-Language Pathologist1411 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
1629248943DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Organization
Durable Medical Equipment & Medical Supplies1411 DENVER AVE
DALHART, TX 79022
(806) 244-4571
1629478466DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
Organization
Pharmacy (Institutional Pharmacy)1411 DENVER AVE
DALHART, TX 79022
(806) 244-4571
1710445390 JONATHAN PAUL SOMMER
Individual
Physical Medicine & Rehabilitation1411 DENVER AVE
DALHART, TX 79022
(346) 305-9738
1871133561 LEAH BREEANN FORD APRN
Individual
Emergency Medicine (Emergency Medical Services)1411 DENVER AVE
DALHART, TX 79022
(512) 869-9298
1942610514 KATY ANN SAWYER PTA
Individual
Physical Therapy Assistant1411 DENVER AVE
DALHART, TX 79022
(806) 244-0015

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.