Basic Information
| Provider Information | |||||||||
| NPI: | 1467442418 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NORTHWEST TEXAS HEALTHCARE SYSTEM INC | ||||||||
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| OtherOrganizationName: | NORTHWEST TEXAS HEALTHCARE SYSTEM | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1501 S COULTER ST | ||||||||
| Address2: | |||||||||
| City: | AMARILLO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 791061770 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8063541000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1501 S COULTER ST | ||||||||
| Address2: | |||||||||
| City: | AMARILLO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 791061770 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8063541000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2005 | ||||||||
| LastUpdateDate: | 01/24/2022 | ||||||||
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| AuthorizedOfficialLastName: | FILTON | ||||||||
| AuthorizedOfficialFirstName: | STEVE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO, SENIOR VP | ||||||||
| AuthorizedOfficialTelephone: | 6107683300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | 318 | TX | N | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical | 276400000X | N | Hospital Units | Rehabilitation, Substance Use Disorder Unit | 282N00000X | 318 | TX | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 1372450-07 | 05 | TX | MEDICAID | 1372450-09 | 05 | TX | MEDICAID |