FAMILY CARE CENTER – NPI #1811065790
Clinic/Center

FAMILY CARE CENTER is an AHC clinic located in FORT STOCKTON, TX. NPPES has assigned the NPI number 1811065790 to FAMILY CARE CENTER on December 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY CARE CENTER” is a dba name, the actual legal business name for this organization is PECOS COUNTY MEMORIAL HOSPITAL. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 7 years ago on Nov 08, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY CARE CENTER below.

NPI Profile for
PECOS COUNTY MEMORIAL HOSPITAL

NPI Number
1811065790
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PECOS COUNTY MEMORIAL HOSPITAL
Doing Business As (dba): FAMILY CARE CENTER
Primary location
387 W IH 10
FORT STOCKTON, TX 79735-2700
Phone: (432) 336-2058 Fax: (432) 336-4511
Mailing address
Same as primary location
Organization Subpart
Yes - FAMILY CARE CENTER is subpart of another organization.
Authorized Official
MELISSA PENA
DIRECTOR
Phone: (432) 336-4880
Updated
Identifiers

Identifiers for FAMILY CARE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX081164801
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.