MEDICARE: METHODIST HOSPITAL PLAINVIEW TEXAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417965286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METHODIST HOSPITAL PLAINVIEW TEXAS

Provider Business Mailing Address
First Line	:	PO BOX 677044
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75267-7044
Country	:	US
Telephone Number	:	806-291-5100
Fax Number	:	806-291-0069

Provider Business Practice Location Address
First Line	:	2222 W 24TH ST
Second Line	:
City	:	PLAINVIEW
State	:	TX
Zip	:	79072-1802
Country	:	US
Telephone Number	:	806-291-5100
Fax Number	:	806-291-0069

Authorized Official
Title or Position	:	ASSISTANT SECRETARY OF ENROLLMENTS
Name	:	DONALD W ANDERSON JR.
Credential	:
Telephone Number	:	425-358-9786

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	09/15/2025

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Directions to “METHODIST HOSPITAL PLAINVIEW TEXAS ” Practice Location

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