Healthcare Provider Details

I. General information

NPI: 1346298981
Provider Name (Legal Business Name): MEDINA COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 N MAIN ST
BOERNE TX
78006-1621
US

IV. Provider business mailing address

625 N MAIN ST
BOERNE TX
78006-1621
US

V. Phone/Fax

Practice location:
  • Phone: 830-249-3085
  • Fax: 830-249-8033
Mailing address:
  • Phone: 830-249-3085
  • Fax: 830-249-8033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY HARDT
Title or Position: CHAIRMAN
Credential:
Phone: 830-426-7700