Organization
PECOS COUNTY MEMORIAL HOSPITAL
Active
Parent organization
PECOS COUNTY MEMORIAL HOSPITAL
Other names
SANDERSON RURAL HEATLH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PECOS COUNTY MEMORIAL HOSPITAL
Authorized official
MRS. MELISSA PENA (DIRECTOR)
(432) 336-4880
Entity
Organization
Contact information
Practice address
213 PERSIMMON STREET, SANDERSON, TX 79848
(432) 336-2508
(432) 345-2426
Mailing address
387 W IH 10, FORT STOCKTON, TX 79735-2700
(432) 336-4213
(432) 336-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079AE
BCBS GROUP ID
TX
Enumeration date
08/31/2012
Last updated
11/08/2019
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