Healthcare Provider Details

I. General information

NPI: 1275922452
Provider Name (Legal Business Name): UVALDE COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2015
Last Update Date: 01/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 TOURNAMENT TRAIL DR
LAREDO TX
78041-6564
US

IV. Provider business mailing address

1025 GARNER FIELD RD
UVALDE TX
78801-4809
US

V. Phone/Fax

Practice location:
  • Phone: 956-727-3422
  • Fax:
Mailing address:
  • Phone: 830-278-6251
  • Fax: 830-278-8529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. THOMAS J NORDWICK
Title or Position: CEO
Credential:
Phone: 830-278-6251