Healthcare Provider Details

I. General information

NPI: 1629373493
Provider Name (Legal Business Name): UVALDE COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2011
Last Update Date: 06/29/2024
Certification Date: 06/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 INDUSTRIAL AVE
COPPERAS COVE TX
76522-1722
US

IV. Provider business mailing address

810 INDUSTRIAL AVE
COPPERAS COVE TX
76522-1722
US

V. Phone/Fax

Practice location:
  • Phone: 254-547-9552
  • Fax: 254-547-9568
Mailing address:
  • Phone: 254-547-9552
  • Fax: 254-547-9568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number131725
License Number StateTX

VIII. Authorized Official

Name: ADAM M APOLINAR
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 830-591-8479