Organization
PECOS COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETSY BRISCOE (CEO)
(432) 336-4200
Entity
Organization
Contact information
Practice address
387 W IH 10, FORT STOCKTON, TX 79735-2700
(432) 336-2004
(432) 336-4545
Mailing address
PO BOX 1648, FORT STOCKTON, TX 79735-1648
(432) 336-2004
(432) 336-4545
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
000356
TX
282NR1301X
Rural Acute Care Hospital
000356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000356
HOSPITAL LICENSE NUMBER
TX
05
—
130616909
—
TX
05
—
130616910
—
TX
05
—
130616911
—
TX
01
—
596656
JOINT COMMISSION ID
TX
01
—
HH0479
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
08/22/2006
Last updated
11/08/2019
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