HARDEMAN COUNTY CLINIC (HARDEMAN COUNTY MEMORIAL HOSP) NPI 1932426772

Clinic/Center (Rural Health) in Quanah, TX

NPI 1932426772 Organization Clinic/Center Rural Health CLIA Number 45D2009985 CLIA Certificate of Waiver

About HARDEMAN COUNTY CLINIC (HARDEMAN COUNTY MEMORIAL HOSP)

Hardeman County Clinic (hardeman County Memorial Hosp) is a primary care provider established in Quanah, Texas specializing in clinic/center (rural health) . The NPI number of Hardeman County Clinic (hardeman County Memorial Hosp) is 1932426772 and was assigned on May 2010. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Hardeman County Clinic. The authorized official of this NPI record is Dave Clark (Administrator)

A primary care provider (PCP) like Hardeman County Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Hardeman County Clinic is 45D2009985 registered as a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Hardeman County Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1932426772

Provider NameHARDEMAN COUNTY CLINIC (HARDEMAN COUNTY MEMORIAL HOSP)
Provider Location Address404 MERCER ST QUANAH, TX 79252
Provider Mailing Address404 MERCER ST QUANAH, TX 79252
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameHARDEMAN COUNTY CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date05-03-2010
Last Update Date10-08-2014


Primary Taxonomy

Taxonomy Code261QR1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRural Health

Business Address

HARDEMAN COUNTY CLINIC
404 MERCER ST
QUANAH, TX
ZIP 79252
Phone: (940) 663-6651
Fax: (940) 663-5899

Get Directions


Mailing Address

HARDEMAN COUNTY CLINIC
404 MERCER ST
QUANAH, TX
ZIP 79252
Phone: (940) 663-6651
Fax: (940) 663-5899



Authorized Official

Authorized Official Name DAVE CLARK
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(940) 663-2795

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 1932426772 is:

CLIA Number45D2009985
Facility TypeRURAL HEALTH CLINIC
Certificate TypeCertificate of Waiver

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
458893MEDICARE OSCAR/CERTIFICATION (06)
286782201MEDICAID (05)TX

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619979044 KEVIN B LANE DO
Individual
Family Medicine404 MERCER ST
QUANAH, TX 79252
(940) 663-5111
1922072214 EVA HORVATH MD
Individual
Family Medicine404 MERCER ST
QUANAH, TX 79252
(940) 663-6651
1003001579KEVIN LANE DO PA
Organization
Family Medicine404 MERCER ST
QUANAH, TX 79252
(940) 663-5111
1841740990MRS. FARA FAYTHE GARZA MSN, RN, FNP-C
Individual
Nurse Practitioner (Family)404 MERCER ST
QUANAH, TX 79252
(940) 663-6651

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.