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CAH451389-00 PECOS COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
PECOS COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451389-00
Medicare Provider Number
451389
Additional Details
Current Program Status
Active
Registration Date
10/9/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/16/2018
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
Pecos County Memorial Hospital
Betsy Briscoe, CEO
(432) 336-2004 Ext: 4200
Primary Contact
Pecos County Memorial Hospital
Rebecca Ureta, CFO
(432) 336-4212
Addresses
Street Address
387 W IH-10
FORT STOCKTON, TX 79735
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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