PECOS COUNTY MEMORIAL HOSPITAL NPI 1780873117

NPI Information

NPI: 1780873117
Provider Name: PECOS COUNTY MEMORIAL HOSPITAL

Doing Business As: PECOS COUNTY MEMORIAL HOSPITAL HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
387 W IH 10
FORT STOCKTON, TX
ZIP 79735
Phone: (432) 336-7044
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PECOS COUNTY MEMORIAL HOSPITAL is a hospice care community based in Fort Stockton, TX. PECOS COUNTY MEMORIAL HOSPITAL NPI is 1780873117. The provider is registered as an organization entity type.
The provider Is Doing Business As Pecos County Memorial Hospital Hospice.

The provider's business location address is:

387 W IH 10
FORT STOCKTON, TX
ZIP 79735
Phone: (432) 336-7044
Fax: (432) 336-2630

The provider's authorized official is Rachelle Rodriguez .
The authorized official title is Director Of Provider Networks and has the following contact phone number (432) 336-7044.

The enumeration date for this NPI number is 10/22/2007 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	251G00000X	Hospice Care, Community Based			TEXAS	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	001026149	MEDICAID	TEXAS

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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