Healthcare Provider Details

I. General information

NPI: 1104830900
Provider Name (Legal Business Name): VAL VERDE HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N BEDELL AVE
DEL RIO TX
78840-4112
US

IV. Provider business mailing address

801 N BEDELL AVE
DEL RIO TX
78840-4112
US

V. Phone/Fax

Practice location:
  • Phone: 830-775-8566
  • Fax: 830-778-3638
Mailing address:
  • Phone: 830-775-8566
  • Fax: 830-778-3638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number000462
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: JORGE JURADO
Title or Position: CEO
Credential:
Phone: 830-778-3677