Healthcare Provider Details

I. General information

NPI: 1841598489
Provider Name (Legal Business Name): SMITHVILLE HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2011
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9801 S 1ST ST
AUSTIN TX
78748-6760
US

IV. Provider business mailing address

1201 HILL RD
SMITHVILLE TX
78957-9533
US

V. Phone/Fax

Practice location:
  • Phone: 512-292-3071
  • Fax: 512-292-3079
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateTX

VIII. Authorized Official

Name: LINDA O WILSON
Title or Position: BOARD PRESIDENT
Credential:
Phone: 361-652-3331