# MCCULLOCH COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PECAN VALLEY HEALTHCARE RESIDENCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407252448
- **Authorized official:** MR. TIMOTHY S JONES (CEO)
- **Authorized official phone:** (325) 597-2901

## Contact information

- **Practice address:** 1405 W STOREY ST, SAN SABA, TX 76877-6422
- **Practice address phone:** (325) 372-5112
- **Practice address fax:** (325) 372-5114
- **Mailing address:** 1405 W STOREY ST, SAN SABA, TX 76877-6422
- **Mailing address phone:** (325) 372-5112
- **Mailing address fax:** (325) 372-5114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2014
- **Last updated:** 12/31/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004476 | — | TX |