Provider Demographics
NPI:1861475626
Name:PARMER COUNTY COMMUNITY HOSPITAL INC.
Entity type:Organization
Organization Name:PARMER COUNTY COMMUNITY HOSPITAL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:GAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUILLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-250-2754
Mailing Address - Street 1:1307 CLEVELAND
Mailing Address - Street 2:
Mailing Address - City:FRIONA
Mailing Address - State:TX
Mailing Address - Zip Code:79035-1121
Mailing Address - Country:US
Mailing Address - Phone:806-250-2754
Mailing Address - Fax:806-250-2088
Practice Address - Street 1:1307 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:FRIONA
Practice Address - State:TX
Practice Address - Zip Code:79035-1121
Practice Address - Country:US
Practice Address - Phone:806-250-2754
Practice Address - Fax:806-250-2031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-25
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX282NC0060X
TX000200282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMA2542Medicaid
TXH04513009Medicaid
TXZ000F28Y6Medicaid
NMV9483Medicaid
TX45Z300Medicare Oscar/Certification
TXZ000F28Y6Medicaid
TXH04513009Medicaid