MEDICARE: UVALDE COUNTY HOSPITAL AUTHORITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	117814	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841311412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UVALDE COUNTY HOSPITAL AUTHORITY

Provider Business Mailing Address
First Line	:	555 RANCH ROAD 3237
Second Line	:
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-5311
Country	:	US
Telephone Number	:	512-847-5540
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 RANCH ROAD 3237
Second Line	:
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-5311
Country	:	US
Telephone Number	:	512-847-5540
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ADAM M APOLINAR
Credential	:
Telephone Number	:	830-591-8479

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	08/25/2022

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Directions to “UVALDE COUNTY HOSPITAL AUTHORITY ” Practice Location

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