COMANCHE COUNTY MEDICAL CENTER COMPANY (NPI# 1184695231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184695231 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY MEDICAL CENTER COMPANY |
| Other Organization Name | COMANCHE COUNTY MEDICAL CENTER EMERGENCY ROOM GROUP |
| Practice Address |
10201 Highway 16 Comanche TX 76442-4462 |
| Practice Telephone | 2548794900 |
| Practice Fax Number | 2548794990 |
| Mailing Telephone | 2548794900 |
| Mailing Fax Number | 2548794990 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | KEVIN STOREY (CEO) |
| Authorized Official Telephone | 2548794900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 412048192 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TX-ER PHYS GROUP | 00L94G | 01 |
| TX | ER PHYS GROUP | 00291V | 01 |
| TX | 121784605 | 05 |
| Other Name | Type Code |
|---|---|
| Comanche County Medical Center Emergency Room Group | 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 |
| 1114221199 | Comanche County Medical Center Company | Clinic/Center | 10201 Highway 16, Comanche, TX 76442-4462 | 2011-01-05 |
| 1346544616 | Comanche County Medical Center Company | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-12-30 |
| 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 |
| 1114221199 | Comanche County Medical Center Company | Clinic/Center | 10201 Highway 16, Comanche, TX 76442-4462 | 2011-01-05 |
| 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 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
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|---|---|---|---|---|
| 1568062297 | Davies Recovery,llc | Emergency Medicine | 9503 Middlex Dr, San Antonio, TX 78217-5915 | 2020-10-30 |
| 1841807526 | Talo Medical Management, LLC | Emergency Medicine | 4190 Fm 2933, Mckinney, TX 75071-0352 | 2020-09-28 |
| 1770199101 | Mavon Oversight Pllc | Emergency Medicine | 340 Van Bibber, Salado, TX 76571 | 2020-09-21 |
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1942819479 | Atascocita Emergency Center, LLC | Emergency Medicine | 5324 Atascocita Rd Ste T, Humble, TX 77346-2971 | 2020-07-30 |
| 1467070698 | Emer Rowlett Physicians, Pllc | Emergency Medicine | 3301 Lakeview Pkwy, Rowlett, TX 75088-3321 | 2020-07-14 |
| 1225656176 | Summit Emergency Medicine Pllc | Emergency Medicine | 2501 W 7th St Ste 101, Fort Worth, TX 76107-8014 | 2020-07-08 |
| 1720604937 | Summit Emergency Medicine Pllc | Emergency Medicine | 606 Grapevine Hwy Ste Abc, Hurst, TX 76054-2758 | 2020-06-23 |
| 1669097382 | Star Ed Pllc | Emergency Medicine | 4617 Saint Clair Ct, Flower Mound, TX 75022-1041 | 2020-06-09 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
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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.