1952308132 NPI number — FRIO HOSPITAL ASSOCIATION

Table of content: (NPI 1952308132)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952308132 NPI number — FRIO HOSPITAL ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRIO HOSPITAL ASSOCIATION
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:
FRIO REGIONAL 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:
1952308132
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/02/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 S INTERSTATE 35
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PEARSALL
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78061-6601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-334-3617
Provider Business Mailing Address Fax Number:
830-334-9812

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 S INTERSTATE 35
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PEARSALL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78061-6601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-334-3617
Provider Business Practice Location Address Fax Number:
830-334-9812
Provider Enumeration Date:
07/05/2005

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
830-334-3617

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QC0050X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 282N00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 112688001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 082778401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 112688002 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH0550 . This is a "BCBS OF TEXAS FACILITY" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 007047601 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: CD7478 . This is a "MEDICARE PALMETTO GBA GROUP# PART B" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0G95P . This is a "BCBS OF TX ER PHYS GROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: CH3467 . This is a "MEDICARE PALMETTO GBA GROUP# RAILROAD PART B" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com