| Hardeman County Memorial Hospital | |
|
402 Mercer St 402 Mercer St Quanah TX 79252-4026 | |
| (940) 663-2795 | |
| (940) 663-5149 |
| Full Name | Hardeman County Memorial Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 402 Mercer St, Quanah, Texas |
| Authorized Official Name and Position | Tracy Jean Betts (CFO) |
| Authorized Official Contact | 9406632795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hardeman County Memorial Hospital 402 Mercer St Po Box 90 Quanah TX 79252-4026 Ph: (940) 663-2795 | Hardeman County Memorial Hospital 402 Mercer St 402 Mercer St Quanah TX 79252-4026 Ph: (940) 663-2795 |
| NPI Number | 1861510521 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 10/15/2014 |
| Medicare PECOS PAC ID | 7113919580 |
|---|---|
| Medicare Enrollment ID | O20040402001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861510521 | NPI | - | NPPES |
| 023961801 | Medicaid | TX | |
| 121692107 | Medicaid | TX | |
| 121692106 | Medicaid | TX | |
| 184188401 | Medicaid | TX | |
| 091847602 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 000102 (Texas) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 000102 (Texas) | Primary |
| Provider Name | Kevin B Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619979044 PECOS PAC ID: 7113907882 Enrollment ID: I20040722001146 |
| Provider Name | Tyson K Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225275852 PECOS PAC ID: 9436342169 Enrollment ID: I20101026000531 |
| Provider Name | Fara Faythe Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841740990 PECOS PAC ID: 0749569903 Enrollment ID: I20161111000896 |
| Provider Name | Leslie Michelle Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720111883 PECOS PAC ID: 4284626052 Enrollment ID: I20161117000042 |
| Provider Name | Kimberly Babb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992252951 PECOS PAC ID: 1456634922 Enrollment ID: I20170207001100 |
| Provider Name | Linda Wahl Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508878547 PECOS PAC ID: 8123072014 Enrollment ID: I20180906001518 |
| Provider Name | Carley Elice Foster Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043845795 PECOS PAC ID: 5799166864 Enrollment ID: I20220720002852 |
| Provider Name | Stormy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922629138 PECOS PAC ID: 8426470535 Enrollment ID: I20231004000380 |
Hardeman County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Mercer St, Quanah, TX 79252 Phone: 940-663-2795 Fax: 940-663-5149 | |
Hardeman County Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 Mercer St, Quanah, TX 79252 Phone: 940-663-6651 Fax: 940-663-5899 |