Healthcare Provider Details

I. General information

NPI: 1386751394
Provider Name (Legal Business Name): MEDINA COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8406 FM 471 S
CASTROVILLE TX
78009-5315
US

IV. Provider business mailing address

3100 AVENUE E
HONDO TX
78861-3534
US

V. Phone/Fax

Practice location:
  • Phone: 830-426-7444
  • Fax: 830-538-3038
Mailing address:
  • Phone: 830-426-7700
  • Fax: 830-426-7860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number100046
License Number StateTX

VIII. Authorized Official

Name: KEVIN MATTHEW FROSCH
Title or Position: CFO
Credential:
Phone: 830-426-5001