Healthcare Provider Details
I. General information
NPI: 1982192001
Provider Name (Legal Business Name): UVALDE COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2018
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
310 AMERICA DR
BROWNSVILLE TX
78526
US
IV. Provider business mailing address
310 AMERICA DR
BROWNSVILLE TX
78526-7437
US
V. Phone/Fax
- Phone: 801-447-9829
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
THOMAS
J
NORDWICK
Title or Position: CEO
Credential:
Phone: 830-278-6251