Healthcare Provider Details

I. General information

NPI: 1316308463
Provider Name (Legal Business Name): UVALDE COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2016
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W HAYNIE ST
LLANO TX
78643-1905
US

IV. Provider business mailing address

1025 GARNER FIELD RD
UVALDE TX
78801-4809
US

V. Phone/Fax

Practice location:
  • Phone: 325-247-4194
  • Fax: 325-247-3287
Mailing address:
  • Phone: 830-278-6251
  • 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 NORDWICK
Title or Position: CEO
Credential:
Phone: 830-278-6251