1831170273 NPI number — REEVES COUNTY HOSPITAL DISTRICT

Table of content: (NPI 1831170273)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831170273 NPI number — REEVES COUNTY HOSPITAL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REEVES COUNTY HOSPITAL DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
REEVES REGIONAL HEALTH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831170273
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2349 MEDICAL DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PECOS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79772
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
432-447-3551
Provider Business Mailing Address Fax Number:
432-447-6809

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2349 MEDICAL DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PECOS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79772
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-447-3551
Provider Business Practice Location Address Fax Number:
432-447-5434
Provider Enumeration Date:
11/11/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MCKINNEY
Authorized Official First Name:
BRENDA
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
432-447-3551

Provider Taxonomy Codes

  • Taxonomy code: 282NC0060X , with the licence number:  000367 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 107397 . This is a "SUPERIOR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1447417209 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 202890402 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 711168988 . This is a "AMERIGROUP TEXAS INS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000257801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 112684905 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110857301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 451377 . This is a "MEDICARE CRITICAL ACCESS PROVIDER NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 45Z377 . This is a "MEDICARE SWING BED" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 112684904 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139826101 . This is a "TEXAS STAR FIRST CARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH0200 . This is a "BLUE CROSS PROVIDER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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