Pecan Valley Healthcare Residence

LBN: Mcculloch County Hospital District
Pecan Valley Healthcare Residence is an health care organization with primary practice located at 1405 W Storey St , San Saba TX 76877-6422. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Mcculloch County Hospital District can be contacted via phone (325) 372-5112, or through Jones, Timothy S via phone (325) 597-2901.

Contact Information

Primary practice address
1405 W Storey St San Saba TX 76877-6422
Phone: (325) 372-5112
Fax: (325) 372-5114
Website:
Map and Directions
Authorized official contact:
Name: Jones, Timothy S
Phone: (325) 597-2901

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1407252448
LBN Legal business name Mcculloch County Hospital District
DBA Doing business as Pecan Valley Healthcare Residence
Authorized official Jones, Timothy S
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2014
Last updated Dec 31st, 2014 - about 12 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 1407252448 NPPES
Texas MEDICAID 004476

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