Organization Name: | PECOS COUNTY MEMORIAL HOSPITAL |
NPI Number: | 1811065790 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY A GALLEGOS (DIRECTOR) |
Mailing Address: | 387 W Ih 10 Fort Stockton |
State: | TX US |
Postal Code: | 797352700 |
Phone Number: | 4323362058 |
Fax Number: | 4323364511 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |