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NPI Code Detail

MEDICARE: MAVERICK COUNTY HOSPITAL DISTRICT

MEDICARE: MAVERICK COUNTY HOSPITAL DISTRICT
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1851412290
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAVERICK COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1504 E STATE HIGHWAY 97
Second Line :
City : JOURDANTON
State : TX
Zip : 78026-4213
Country : US
Telephone Number : 830-769-3531
Fax Number :
Provider Business Practice Location Address
First Line : 1504 E STATE HIGHWAY 97
Second Line :
City : JOURDANTON
State : TX
Zip : 78026-4213
Country : US
Telephone Number : 830-769-3531
Fax Number : 830-769-4091
Authorized Official
Title or Position : CEO
Name : ALMA MARTINEZ
Credential :
Telephone Number : 830-757-4939
Provider Enumeration Date : 04/03/2007
Last Update Date : 05/10/2023

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Directions to “MAVERICK COUNTY HOSPITAL DISTRICT ” Practice Location

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