Public record

CMS Home Health Agency All Owners

Associate id: 3173977477 · 13 matching records

Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
0547517047
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-07-01
First name - owner
REBECCA
Last name - owner
URETA
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
0547517047
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-07-01
First name - owner
REBECCA
Last name - owner
URETA
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
0547517047
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-07-01
First name - owner
REBECCA
Last name - owner
URETA
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3173977477
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-01
Organization name - owner
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Doing business as name - owner
PECOS COUNTY MEMORIAL HOSPITAL HOSPICE
Address line 1 - owner
387 W IH 10
City - owner
FORT STOCKTON
State - owner
TX
Zip code - owner
797352708
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
HOSPITAL DISTRICT
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3173977477
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-06-01
Organization name - owner
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Doing business as name - owner
PECOS COUNTY MEMORIAL HOSPITAL HOSPICE
Address line 1 - owner
387 W IH 10
City - owner
FORT STOCKTON
State - owner
TX
Zip code - owner
797352708
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
HOSPITAL DISTRICT
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
3971957275
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-07-01
First name - owner
ARMANDO
Last name - owner
MANDUJANO
Title - owner
BOARD MEMBER
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
4880048180
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-07-01
First name - owner
MATT
Last name - owner
TARPLEY
Title - owner
BOARD MEMBER
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
5799139093
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-07-01
First name - owner
LOU ANN
Last name - owner
TOVAR
Title - owner
BOARD MEMBER
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6709959943
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-07-01
First name - owner
BETSY
Last name - owner
BRISCOE
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6709959943
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-07-01
First name - owner
BETSY
Last name - owner
BRISCOE
Title - owner
CHIEF EXECUTIVE OFFICER
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
6709959943
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-07-01
First name - owner
BETSY
Last name - owner
BRISCOE
Title - owner
CHIEF EXECUTIVE OFFICERE
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
7416301718
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-07-01
First name - owner
SANTIAGO
Last name - owner
CANTU
Title - owner
BOARD MEMBER
Enrollment id
O20230920001593
Associate id
3173977477
Organization name
PECOS COUNTY MEMORIAL HOSPITAL DISTRICT
Associate id - owner
7911189519
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-07-01
First name - owner
LAURA
Last name - owner
MCKENZIE
Title - owner
BOARD MEMBER

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