NPIMap

Organization Active NPI

Reeves County Home Delivered Meals Program

  • Home Delivered Meals
  • Pecos, TX
National Provider Identifier
1639204183
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
REEVES COUNTY HOME DELIVERED MEALS PROGRAM
Practice address
700 W Daggett St
Suite F
Pecos, TX 79772-6900
Phone
(432) 447-0333
Fax
(432) 447-0373
NPI assigned
Feb 23, 2007
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Mr. Won Joo Bang, M.D.
Title
Reeves County Judge
Phone
(432) 445-5418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X NU Primary

Addresses

Primary practice location

700 W Daggett St
Suite F
Pecos, TX 79772-6900

Mailing address

700 W Daggett St
Suite F
Pecos, TX 79772-6900
Phone (432) 447-0333

Other identifiers 2

IdentifierTypeStateIssuer
332U00000XOtherTXHOME DELIVERED MEALS CCAD
332U00000XOtherTXHOME DELIVERED MEALS CBA

National Provider Directory

National Provider Directory
Tax ID family
Reeves County Hosp H H2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 W Daggett St
Ste F
Pecos, TX 79772
Phone (432) 447-0333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1639204183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W DAGGETT ST",
            "address_2": "SUITE F",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797726900",
            "telephone_number": "432-447-0333",
            "fax_number": "432-447-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W DAGGETT ST",
            "address_2": "SUITE F",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797726900",
            "telephone_number": "432-447-0333",
            "fax_number": "432-447-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES COUNTY HOME DELIVERED MEALS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "BANG",
        "authorized_official_first_name": "WON",
        "authorized_official_middle_name": "JOO",
        "authorized_official_title_or_position": "REEVES COUNTY JUDGE",
        "authorized_official_telephone_number": "432-445-5418",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME DELIVERED MEALS CCAD",
            "identifier": "332U00000X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME DELIVERED MEALS CBA",
            "identifier": "332U00000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pecos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.