Healthcare Provider Details

I. General information

NPI: 1073654935
Provider Name (Legal Business Name): REEVES COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 03/22/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 MEDICAL DRIVE
PECOS TX
79772-2223
US

IV. Provider business mailing address

2335 MEDICAL DRIVE
PECOS TX
79772-2223
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 Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number000367
License Number StateTX

VIII. Authorized Official

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