Provider Demographics
NPI:1831170273
Name:REEVES COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:REEVES COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-447-3551
Mailing Address - Street 1:2349 MEDICAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:PECOS
Mailing Address - State:TX
Mailing Address - Zip Code:79772
Mailing Address - Country:US
Mailing Address - Phone:432-447-3551
Mailing Address - Fax:432-447-6809
Practice Address - Street 1:2349 MEDICAL DRIVE
Practice Address - Street 2:
Practice Address - City:PECOS
Practice Address - State:TX
Practice Address - Zip Code:79772
Practice Address - Country:US
Practice Address - Phone:432-447-3551
Practice Address - Fax:432-447-5434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-11
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000367282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX107397OtherSUPERIOR
TX1447417209Medicaid
TX202890402Medicaid
TX711168988OtherAMERIGROUP TEXAS INS
TX000257801Medicaid
TX112684905Medicaid
TX110857301Medicaid
TX451377OtherMEDICARE CRITICAL ACCESS PROVIDER NUMBER
TX45Z377OtherMEDICARE SWING BED
TX112684904Medicaid
TX139826101OtherTEXAS STAR FIRST CARE
TXHH0200OtherBLUE CROSS PROVIDER