McCulloch County Hospital District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MCCULLOCH COUNTY HOSPITAL DISTRICT

Doing business as

Pecan Valley Healthcare Residence

Practice address

1405 W Storey St
San Saba, TX 76877-6422

Phone

(325) 372-5112

Fax

(325) 372-5114

NPI assigned

Nov 18, 2014

Last updated

Dec 31, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Timothy S Jones

Title

Ceo

Phone

(325) 597-2901

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PECAN VALLEY HEALTHCARE RESIDENCE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1407252448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W STOREY ST",
            "city": "SAN SABA",
            "state": "TX",
            "postal_code": "768776422",
            "telephone_number": "325-372-5112",
            "fax_number": "325-372-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W STOREY ST",
            "city": "SAN SABA",
            "state": "TX",
            "postal_code": "768776422",
            "telephone_number": "325-372-5112",
            "fax_number": "325-372-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOCH COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-597-2901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004476",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PECAN VALLEY HEALTHCARE RESIDENCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Marie Lance, RPH
• Karen R Little, NP
• Llano County Hospital Authority (Hoerster Clinic San Saba)
• LS San Saba Operator LLC (San Saba Healthcare Centre)
• Jeffry Patrick Mays, MD
• Mid Coast Medical Center-Central (Mid Coast Well Care - San Saba)
• Robin Lee Levy Miller, MD
• Heather Elise Morris, FNP-BC
• Pecan Valley Nursing and Rehab Center LLC (Pecan Valley Nursing and Rehab Center)
• Reeves Chiropractic

• Skilled Nursing Facility in San Saba, TX
• Providers in San Saba, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.