1. Home
  2. Directory
  3. Texas
  4. Fort Stockton
  5. Family Medicine
  6. NPI Profile

PECOS COUNTY MEMORIAL HOSPITAL
NPI 1457307175
Family Medicine in Fort Stockton, TX

Active since May 25, 2006CLIA 45D0508889 · Microscopy
387 WEST IH 10, FORT STOCKTON, TX 79735(432) 336-2058(844) 824-3604 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2019, Feb 16, 2018 (2 updates tracked since 2018).

About Pecos County Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PECOS COUNTY MEMORIAL HOSPITAL (NPI 1457307175) is a healthcare organization registered as a family medicine in Fort Stockton, Texas and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through March 26, 2028 and lists Melissa Pena, Director, as its authorized official.

NPPES Registry Identity

NPI1457307175
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePECOS COUNTY MEMORIAL HOSPITAL
Location Address387 WEST IH 10Fort Stockton, TX 79735-2700
Mailing Address387 West Ih 10Fort Stockton, TX 79735-2700 · (432) 336-2058 · Fax (432) 336-4511
Phone(432) 336-2058
Fax(844) 824-3604
Organization SubpartNo
Authorized OfficialMelissa PenaDirector · (432) 336-4880
Enumeration DateMay 25, 2006
Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration
✔ NPI 1457307175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
387 WEST IH 10, Fort Stockton, TX 79735
Open in Google Maps ↗

Other Identifiers 3

Medicaid091939102TX
Other0079AETX · Bcbs Group Number
Medicaid091939103TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0508889

Pecos County Memorial Hospital D/B/A Family Care Walk-In Clinic · Fort Stockton, TX
Active · expires Mar 26, 2028
CLIA Number45D0508889
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorRachelle Young
Laboratory Phone(432) 336-4880
Laboratory LocationPecos County Memorial Hospital D/B/A Family Care Walk-In Clinic511 North Main, Fort Stockton, TX 79735
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pecos County Memorial Hospital's NPI number?

The NPI number for Pecos County Memorial Hospital is 1457307175. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Pecos County Memorial Hospital located?

Pecos County Memorial Hospital is located at 387 West Ih 10, Fort Stockton, TX 79735. The listed phone number is (432) 336-2058.

What is Pecos County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pecos County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0508889) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pecos County Memorial Hospital accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Pecos County Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pecos County Memorial Hospital was last updated on November 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.