Organization
REEVES COUNTY HOSPITAL DISTRICT
Active
Organization
REEVES COUNTY HOSPITAL DISTRICT
Active
Other names
Reeves Regional Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MCKINNEY (ADMINISTRATOR/CEO)
(432) 447-3551
Entity
Organization
Contact information
Practice address
2349 MEDICAL DRIVE, PECOS, TX 79772
(432) 447-3551
(432) 447-5434
Mailing address
2349 MEDICAL DRIVE, PECOS, TX 79772
(432) 447-3551
(432) 447-5434
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170003102
—
TX
01
—
451377
MEDICARE
—
01
—
452378
MEDICARE - DIALYSIS
—
01
—
45Z377
MEDICARE SWING-BED
—
Enumeration date
12/08/2006
Last updated
03/23/2023
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