Healthcare Provider Details

I. General information

NPI: 1659566867
Provider Name (Legal Business Name): REEVES COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 09/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 TEXAS ST
PECOS TX
79772-7338
US

IV. Provider business mailing address

2323 TEXAS ST
PECOS TX
79772-7338
US

V. Phone/Fax

Practice location:
  • Phone: 432-447-3551
  • Fax: 432-447-6809
Mailing address:
  • Phone: 432-447-3551
  • Fax: 432-447-6809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateTX

VIII. Authorized Official

Name: MRS. GRACE MORALES
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 432-447-3551