1740288505 NPI number — UVALDE COUNTY HOSPITAL AUTHORITY

Table of content: (NPI 1740288505)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740288505 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:
UVALDE MEMORIAL HOSPITAL
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:
1740288505
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1025 GARNER FIELD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UVALDE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78801-4809
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-278-6251
Provider Business Mailing Address Fax Number:
830-278-3756

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1025 GARNER FIELD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UVALDE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78801-4809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-278-6251
Provider Business Practice Location Address Fax Number:
830-278-3756
Provider Enumeration Date:
07/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CONTRERAS
Authorized Official First Name:
TERRI
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
830-278-6251

Provider Taxonomy Codes

  • Taxonomy code: 275N00000X , with the licence number:  000063 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 000063 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282NC0060X , with the licence number: 000063 , 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: 00987T . This is a "MCRCRNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 00C62R . This is a "BCBS 1500" identifier . This identifiers is of the category "OTHER".
  • Identifier: 121782007 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 145316903 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH0443 . This is a "BCBS UB" identifier . This identifiers is of the category "OTHER".
  • Identifier: 095182402 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 121782010 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 121782006 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 121782009 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: U92B . This is a "ANESTHESIA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 145316904 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 016575700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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