Healthcare Provider Details

I. General information

NPI: 1932268661
Provider Name (Legal Business Name): REEVES COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 03/23/2023
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: 432-447-3551
  • Fax: 432-447-5434
Mailing address:
  • Phone: 432-447-3551
  • Fax: 432-447-5434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number008098
License Number StateTX

VIII. Authorized Official

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