PECOS COUNTY MEMORIAL HOSPITAL (NPI# 1770649295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770649295 |
| Entity Type | Organization |
| Organization Name | PECOS COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | FAMILY CARE CENTER |
| Practice Address |
387 Ih 10 W Ste 1 Fort Stockton TX 79735-2700 |
| Practice Telephone | 4323368365 |
| Practice Fax Number | 4323368392 |
| Mailing Telephone | 4323368365 |
| Mailing Fax Number | 4323368392 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2019-11-08 |
| Authorized Official Name | MS. MELISSA PENA (DIRECTOR) |
| Authorized Official Telephone | 4323364880 |
| Is Organization Subpart | Y |
| Parent Organization Name | PECOS COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 063329901 | 05 |
| Other Name | Type Code |
|---|---|
| FAMILY CARE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003256009 | Pecos County Memorial Hospital | Family Medicine | 101 South Post Road, Marathon, TX 79842 | 2013-07-05 |
| 1518216902 | Pecos County Memorial Hospital | Family Medicine | 213 Persimmon Street, Sanderson, TX 79848 | 2012-08-31 |
| 1609112853 | Pecos County Memorial Hospital | Family Medicine | 2071 N Main St, Fort Stockton, TX 79735-3041 | 2012-12-17 |
| 1033486915 | Pecos County Memorial Hospital | Anesthesiology | 387 W Ih 10, Fort Stockton, TX 79735 | 2011-11-21 |
| 1043505225 | Pecos County Memorial Hospital | Medicare Defined Swing Bed Unit | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2011-06-15 |
| 1851695316 | Pecos County Memorial Hospital | Family Medicine | 511 N Main St, Fort Stockton, TX 79735-5623 | 2010-12-27 |
| 1780873117 | Pecos County Memorial Hospital | Hospice Care, Community Based | 387 W Ih 10, Fort Stockton, TX 79735 | 2007-10-22 |
| 1811065790 | Pecos County Memorial Hospital | Clinic/Center | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2006-12-01 |
| 1760598692 | Pecos County Memorial Hospital | General Acute Care Hospital | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2006-08-22 |
| 1730113085 | Pecos County Memorial Hospital | Home Health | 387 W Ih 10, Fort Stockton, TX 79735 | 2006-07-11 |
| Street Address |
387 IH 10 W STE 1 |
| City | FORT STOCKTON |
| State | TX |
| Zip Code | 79735-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558694224 | Big Bend Sleep Center, LLC | Clinic/Center | 387 Ih 10 W, Fort Stockton, TX 79735-2700 | 2009-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649523416 | Brian Edward Cherry | Optometrist | 605 N. Main, Fort Stockton, TX 79735 | 2012-10-18 |
| 1295036440 | Daria Wood | Physician Assistant | 301 N Water Street, Fort Stockton, TX 79735 | 2010-11-04 |
| 1093043275 | Avanti-ayush,llc | Assisted Living Facility | 237 West 21st Streed, Fort Stockton, TX 79735 | 2009-11-25 |
| 1629229547 | Jimmy A. Wofford | Dentist | 413 N. Main St., Ft. Stockton, TX 79735 | 2008-10-09 |
| 1346499902 | Pecos County | Ambulance | 310 W 5th Street, Fort Stockton, TX 79735 | 2008-09-18 |
| 1306065693 | Boon Dental Alliance P.a. | Dentist | 713 N. Main, Fort Stockton, TX 79735 | 2007-04-24 |
| 1992821433 | Janet Marie Luning | Assisted Living Facility | 4606 N Hwy 1053, Fort Stockton, TX 79735 | 2007-03-22 |
| 1649386491 | Michele Huckaby | Counselor | 204 N. Oklahoma, Fort Stockton, TX 79735 | 2006-08-22 |
| 1750354304 | Rosalie M Sullivan | Nurse Practitioner | 511 North Main, Fort Stockton, TX 79735 | 2006-02-13 |
| 1912337734 | Karin Michelle Hahn | Nurse Practitioner | 301 N Water Street, Fort Stockton, TX 79735 | 2013-11-14 |
| Find all providers in zip 79735 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326180068 | Sheri Jo Talley | Family Medicine | 1098 S Fm 2037, Fort Stockton, TX 79735-9795 | 2007-02-12 |
| 1467427435 | Cecil R George | Family Medicine | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2006-02-22 |
| 1902284417 | Heather Corinne Jekot Griffith | Family Medicine | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2015-05-16 |
| 1003255399 | Rachelle Young | Family Medicine | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2013-06-19 |
| 1053757104 | Pamela Jean Gougler | Family Medicine | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2013-05-16 |
| 1609112853 | Pecos County Memorial Hospital | Family Medicine | 2071 N Main St, Fort Stockton, TX 79735-3041 | 2012-12-17 |
| 1851695316 | Pecos County Memorial Hospital | Family Medicine | 511 N Main St, Fort Stockton, TX 79735-5623 | 2010-12-27 |
| 1891920997 | Rahul Boinpally | Family Medicine | 387 West Ih 10, Fort Stockton, TX 79735-2700 | 2009-05-19 |
| 1740430230 | Auden C Velasquez | Family Medicine | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2008-09-22 |
| 1669697264 | Pecos County Memorial | Family Medicine | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2007-04-17 |
| Find all providers in FORT STOCKTON | ||||
| City | FORT STOCKTON |
| Zip Code | 79735 |
Please comment or provide details below to improve the information on PECOS COUNTY MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.