COMANCHE COUNTY MEDICAL CENTER COMPANY (NPI# 1114221199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114221199 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY MEDICAL CENTER COMPANY |
| Other Organization Name | DOCTORS MEDICAL CENTER |
| Practice Address |
10201 Highway 16 Comanche TX 76442-4462 |
| Practice Telephone | 2548794910 |
| Mailing Telephone | 2548794910 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | MR. KEVIN STOREY (CEO) |
| Authorized Official Telephone | 2548794900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
11111 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | OOU50B | 01 |
| TX | 092950702 | 05 |
| Other Name | Type Code |
|---|---|
| Doctors Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1760006076 | Comanche County Medical Center Company | Pharmacy | 303 N Patrick St, Dublin, TX 76446-1918 | 2020-06-02 |
| 1134720931 | Comanche County Medical Center Company | Clinic/Center | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-06 |
| 1215545561 | Comanche County Medical Center Company | Clinic/Center | 305 N Patrick St, Dublin, TX 76446-1918 | 2020-07-22 |
| 1306181508 | Comanche County Medical Center Company | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2012-11-29 |
| 1346544616 | Comanche County Medical Center Company | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-12-30 |
| 1184695231 | Comanche County Medical Center Company | Emergency Medicine | 10201 Highway 16, Comanche, TX 76442-4462 | 2006-01-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMANCHE COUNTY MEDICAL CENTER COMPANY | 10201 Hwy 16, Comanche, TX 76442-4462 |
| Street Address |
10201 HIGHWAY 16 |
| City | COMANCHE |
| State | TX |
| Zip Code | 76442-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752404 | Comanche County Consolidated Hospital District | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2005-10-05 |
| 1679033476 | Charles Jordan | Nurse Practitioner | 10201 Highway 16, Comanche, TX 76442-4462 | 2019-03-20 |
| 1306181508 | Comanche County Medical Center Company | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2012-11-29 |
| 1336483684 | Texas Health Care, P.l.l.c. | Orthopaedic Surgery | 10201 Highway 16, Comanche, TX 76442-4462 | 2012-11-26 |
| 1346544616 | Comanche County Medical Center Company | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-12-30 |
| 1114220928 | Comanche County Medical Center | Ambulance | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-12-16 |
| 1275854952 | Comanche County Physicians Group | Surgery | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-06-17 |
| 1356501035 | Hill Country Advanced Foot and Ankle Center, P.a. | Podiatrist | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-06-16 |
| 1386811958 | Comanche Internal Medicine, Pa | Internal Medicine | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-05-13 |
| 1225216930 | Doctors Medical Center Clinic | Family Medicine | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130692 | Mylinda Gay Blue | Registered Nurse | 10201 Highway 16 N, Comanche, TX 76442 | 2019-02-14 |
| 1598246654 | Minerva L Marsh | Occupational Therapist | 400 Sidney Rd, Comanche, TX 76442 | 2018-08-27 |
| 1891189676 | Comanche County Consolidated Hospital District | Hospice Care, Community Based | 108 W Oak, Comanche, TX 76442 | 2015-03-19 |
| 1083851513 | Comanche County Medical Center Dba Doctors Medical Center | Family Medicine | 10201 Hwy 16 N, Comanche, TX 76442 | 2009-01-21 |
| 1548284631 | Gary M Easley, Dds Inc | Dentist | 203 Valley Forge St, Comanche, TX 76442 | 2006-07-26 |
| 1992260244 | Stephanie Renee Stout | Licensed Vocational Nurse | 10201 Hwy 16 North, Comanche, TX 76442 | 2019-01-31 |
| 1629286182 | Gary M Easley | Dentist | 203 Valley Forge St, Comanche, TX 76442 | 2007-05-18 |
| 1861707010 | Greater North Texas Emergency Medical Services Corp | Ambulance | 1400-a N. Austin, Comanche, TX 76442-0000 | 2010-08-12 |
| 1629579842 | Susan Raye Johnson | Licensed Vocational Nurse | 303 W Martin Ave, Comanche, TX 76442-1661 | 2018-02-22 |
| 1285738245 | John Ben Knudson | Pharmacy | 1001 N Austin St, Comanche, TX 76442-1701 | 2006-09-12 |
| Find all providers in zip 76442 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.