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General NPI Number Information
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NPI Number | 1932268661
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Entity Type | Organization
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Legal Business Name | REEVES COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 2349 MEDICAL DRIVE
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City | PECOS
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State | TX
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Zip | 79772
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Country | US
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Telephone | 432-447-3551
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Fax | 432-447-5434
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Provider Business Mailing Address
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Address Line | 2349 MEDICAL DRIVE
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City | PECOS
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State | TX
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Zip | 79772
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Country | US
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Telephone | 432-447-3551
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Fax | 432-447-5434
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | BRENDA MCKINNEY
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Credential |
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Telephone | 432-447-3551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number | 008098
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License Number State | TX
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