REEVES COUNTY HOSPITAL DISTRICT (NPI# 1447417209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447417209 |
| Entity Type | Organization |
| Organization Name | REEVES COUNTY HOSPITAL DISTRICT |
| Other Organization Name | REEVES COUNTY HOSPITAL PHYSICIAN CLINIC |
| Practice Address |
200 Meadowbrook Drive Pecos TX 79772 |
| Mailing Address |
2323 Texas St Pecos TX 79772-7338 |
| Practice Telephone | 4324470565 |
| Practice Fax Number | 4324475053 |
| Mailing Telephone | 4324473551 |
| Mailing Fax Number | 4324475434 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2016-02-23 |
| Authorized Official Name | BRENDA K MCKINNEY (CEO) |
| Authorized Official Telephone | 4324473551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 082886501 | 05 |
| Other Name | Type Code |
|---|---|
| Reeves County Hospital Physician Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831170273 | Reeves County Hospital District | General Acute Care Hospital | 2323 Texas St, Pecos, TX 79772-7338 | 2005-11-11 |
| 1417496357 | Reeves County Hospital District | Clinic/Center | 1800 S Eddy St, Pecos, TX 79772-6420 | 2017-02-13 |
| 1508305442 | Reeves County Hospital District | Hospice Care, Community Based | 2323 Texas St, Pecos, TX 79772-7338 | 2017-02-13 |
| 1154869287 | Reeves County Hospital District | Home Health | 2323 Texas St, Pecos, TX 79772-7338 | 2017-02-09 |
| 1124279955 | Reeves County Hospital District | General Acute Care Hospital | 2323 Texas St, Pecos, TX 79772-7338 | 2008-10-10 |
| 1659566867 | Reeves County Hospital District | Ambulance | 2323 Texas St, Pecos, TX 79772-7338 | 2007-09-11 |
| 1255476578 | Reeves County Hospital District | General Acute Care Hospital | 2323 Texas St, Pecos, TX 79772-7338 | 2007-02-21 |
| 1073654935 | Reeves County Hospital District | Clinic/Center | 2323 Texas St, Pecos, TX 79772-7338 | 2007-02-12 |
| 1932268661 | Reeves County Hospital District | Clinic/Center | 2323 Texas St, Pecos, TX 79772-7338 | 2006-12-08 |
| 1518061126 | Reeves County Hospital District | Emergency Medicine | 2323 Texas St, Pecos, TX 79772-7338 | 2006-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REEVES COUNTY HOSPITAL DISTRICT | 2323 Texas St, Pecos, TX 79772-7338 |
| Street Address |
200 MEADOWBROOK DRIVE |
| City | PECOS |
| State | TX |
| Zip Code | 79772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386761252 | Ola Gail Caverly | Obstetrics & Gynecology | 200 Meadowbrook Drive, Pecos, TX 79772-7338 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322032 | Flor Karime Jurado | Licensed Practical Nurse | 1410 Cowan Street, Pecos, TX 79772 | 2020-10-05 |
| 1831704873 | Tarun Mundluru | Pecos Dental, 801 W 3rd St, Pecos, TX 79772 | 2020-09-15 | |
| 1962028902 | United Supermarkets, LLC | Pharmacy | 2783 S Cedar, Pecos, TX 79772 | 2020-06-24 |
| 1275053480 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2338 Texas St Ste B, Pecos, TX 79772 | 2017-06-20 |
| 1568597177 | Managed Care Pharmacy | Pharmacy | 721 S. Palm, Pecos, TX 79772 | 2007-02-22 |
| 1194168211 | James M Tarin | Family Medicine | 2323 Texas St, Pecos, TX 79772 | 2013-04-08 |
| 1225258486 | Pecos-barstow-toya Isd | Local Education Agency (LEA) | 1414 Washington St, Pecos, TX 79772-0869 | 2007-04-27 |
| 1033400932 | H K A Corporation | Durable Medical Equipment & Medical Supplies | 1010 S Eddy St Ste D, Pecos, TX 79772-2524 | 2011-04-26 |
| 1457349953 | H K A Corporation | Durable Medical Equipment & Medical Supplies | 1010 S Eddy St, Suite A, Pecos, TX 79772-2524 | 2005-10-10 |
| 1831190842 | Jay Bob Haney | Chiropractor | 1309 W 3rd St, Pecos, TX 79772-2826 | 2005-08-02 |
| Find all providers in zip 79772 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194168211 | James M Tarin | Family Medicine | 2323 Texas St, Pecos, TX 79772 | 2013-04-08 |
| 1538256706 | Steven E Serrano | Family Medicine | 2323 Texas St, Pecos, TX 79772-7338 | 2006-10-06 |
| 1871696955 | Louis Victor Mcintire Jr. | Family Medicine | 2323 Texas St, Pecos, TX 79772-7338 | 2006-09-06 |
| 1649281569 | Deitrick L Gorman | Family Medicine | 2323 Texas St, Pecos, TX 79772-7338 | 2006-08-10 |
| 1497725139 | Maria Raquel Reffino Pereyra | Family Medicine | 2323 Texas St, Pecos, TX 79772-7338 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.