Family Care Center Walk In Clinic

LBN: Pecos County Memorial Hospital
Family Care Center Walk In Clinic is an health care organization with primary practice located at 511 N Main St , Fort Stockton TX 79735-5623. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Pecos County Memorial Hospital can be contacted via phone (432) 336-4544, or through Pena, Melissa via phone (432) 336-4880.

Contact Information

Primary practice address
511 N Main St Fort Stockton TX 79735-5623
Phone: (432) 336-4544
Fax: (844) 315-6548
Website:
Map and Directions
Authorized official contact:
Name: Pena, Melissa
Phone: (432) 336-4880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1851695316
LBN Legal business name Pecos County Memorial Hospital
DBA Doing business as Family Care Center Walk In Clinic
Authorized official Pena, Melissa
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 27th, 2010
Last updated Nov 8th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851695316 NPPES
Texas Other 0079AE MEDICARE PART B
Texas MEDICAID 287117001 MEDICARE PART B

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