1821096140 NPI number — UVALDE COUNTY HOSPITAL AUTHORITY

Table of content: (NPI 1821096140)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821096140 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:
HEALTHCARE CLINIC OF SABINAL
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:
1821096140
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1025 GARNER FLD 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:
517 N. CENTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SABINAL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78881-0509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-988-2985
Provider Business Practice Location Address Fax Number:
830-988-2410
Provider Enumeration Date:
07/11/2005

Additional Information

Authorized Official

Authorized Official Last Name:
BUCKNER
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
E
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
830-278-6251

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X , 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: 88230G . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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