Healthcare Provider Details

I. General information

NPI: 1447417209
Provider Name (Legal Business Name): REEVES COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 03/22/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2349 MEDICAL DRIVE
PECOS TX
79772
US

IV. Provider business mailing address

2349 MEDICAL DRIVE
PECOS TX
79772
US

V. Phone/Fax

Practice location:
  • Phone: 432-447-0565
  • Fax: 432-447-5053
Mailing address:
  • Phone: 432-447-3551
  • Fax: 432-447-5434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRENDA K MCKINNEY
Title or Position: CEO
Credential:
Phone: 432-447-3551