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Organization
PECOS COUNTY MEMORIAL HOSPITAL
Active
Organization
PECOS COUNTY MEMORIAL HOSPITAL
Active
Parent organization
PECOS COUNTY MEMORIAL HOSPITAL
Other names
Pecos County Memorial Hospital Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PECOS COUNTY MEMORIAL HOSPITAL
Authorized official
MRS. BETSY BRISCOE CEO (DIRECTOR OF PROVIDER ENROLLMENT)
(432) 336-4200
Entity
Organization
Contact information
Practice address
387 W IH 10, FORT STOCKTON, TX 79735
(432) 336-7044
(432) 336-2630
Mailing address
387 W IH 10, FORT STOCKTON, TX 79735-2700
(432) 336-7044
(432) 336-2630
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130616907
—
TX
01
—
HH473H
BCBS PROVIDER NUMBER
TX
Enumeration date
07/11/2006
Last updated
11/08/2019
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