Active NPI
Pecos County Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Fort Stockton, TX
National Provider Identifier
1043505225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Legal business name
- PECOS COUNTY MEMORIAL HOSPITAL
- Practice address
- 387 W Ih 10
Fort Stockton, TX 79735-2700 - Phone
- (432) 336-2004
- Fax
- (432) 336-4545
- NPI assigned
- Jun 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betsy Briscoe
- Title
- Ceo
- Phone
- (432) 336-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Primary |
Addresses
Primary practice location
387 W Ih 10
Fort Stockton, TX 79735-2700
Mailing address
PO Box 1648
Fort Stockton, TX 79735-1648
Phone (432) 336-2004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130616909 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573171200000",
"number": "1043505225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1648",
"city": "FORT STOCKTON",
"state": "TX",
"postal_code": "797351648",
"telephone_number": "432-336-2004",
"fax_number": "432-336-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "387 W IH 10",
"city": "FORT STOCKTON",
"state": "TX",
"postal_code": "797352700",
"telephone_number": "432-336-2004",
"fax_number": "432-336-4545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PECOS COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-15",
"last_updated": "2019-11-08",
"status": "A",
"authorized_official_last_name": "BRISCOE",
"authorized_official_first_name": "BETSY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "432-336-4200"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130616909",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Stockton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.