1629373493 NPI number — UVALDE COUNTY HOSPITAL AUTHORITY

Table of content: (NPI 1629373493)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629373493 NPI number — UVALDE COUNTY HOSPITAL AUTHORITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UVALDE COUNTY HOSPITAL AUTHORITY
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:
HILL COUNTRY REHAB AND NURSING CENTER
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:
1629373493
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
810 INDUSTRIAL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COPPERAS COVE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76522-1722
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-547-9552
Provider Business Mailing Address Fax Number:
254-547-9568

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
810 INDUSTRIAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COPPERAS COVE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76522-1722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-547-9552
Provider Business Practice Location Address Fax Number:
254-547-9568
Provider Enumeration Date:
01/25/2011

Additional Information

Authorized Official

Authorized Official Last Name:
APOLINAR
Authorized Official First Name:
ADAM
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
830-278-6251

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  131725 , 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: 004037 . This is a "FACILITY ID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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