Healthcare Provider Details

I. General information

NPI: 1124265541
Provider Name (Legal Business Name): UVALDE COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2009
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W WINDCREST ST
FREDERICKSBURG TX
78624-4408
US

IV. Provider business mailing address

210 W WINDCREST ST
FREDERICKSBURG TX
78624-4408
US

V. Phone/Fax

Practice location:
  • Phone: 830-997-7422
  • Fax: 830-997-0317
Mailing address:
  • Phone: 830-637-7885
  • Fax: 830-997-0317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number126528
License Number StateTX

VIII. Authorized Official

Name: ADAM M APOLINAR
Title or Position: CEO
Credential:
Phone: 830-278-6251