Healthcare Provider Details

I. General information

NPI: 1447741665
Provider Name (Legal Business Name): FRIO HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 03/30/2020
Certification Date: 03/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5607 EVERHART RD
CORPUS CHRISTI TX
78411-4904
US

IV. Provider business mailing address

5607 EVERHART RD
CORPUS CHRISTI TX
78411-4904
US

V. Phone/Fax

Practice location:
  • Phone: 361-854-4601
  • Fax:
Mailing address:
  • Phone: 361-854-4601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: THOMAS GRIMERT
Title or Position: CFO
Credential:
Phone: 830-334-3617