PECOS COUNTY MEMORIAL HOSPITAL NPI 1518216902

NPI Information

NPI: 1518216902
Provider Name: PECOS COUNTY MEMORIAL HOSPITAL

Doing Business As: SANDERSON RURAL HEATLH CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 45D2046662

Address:
213 PERSIMMON STREET
SANDERSON, TX
ZIP 79848
Phone: (432) 336-2508
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PECOS COUNTY MEMORIAL HOSPITAL is a rural health clinic center in Sanderson, TX. PECOS COUNTY MEMORIAL HOSPITAL NPI is 1518216902. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanderson Rural Heatlh Center.

The provider's business location address is:

213 PERSIMMON STREET
SANDERSON, TX
ZIP 79848
Phone: (432) 336-2508
Fax: (432) 345-2426

The provider's authorized official is Melissa Pena .
The authorized official title is Director and has the following contact phone number (432) 336-4880.

The CLIA number assigned to this NPI record is 45D2046662 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2012 and was last updated on 11/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine			TEXAS	No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0079AE	OTHER	TEXAS	BCBS GROUP ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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