Healthcare Provider Details

I. General information

NPI: 1710432240
Provider Name (Legal Business Name): FRIO HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2016
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N 4TH ST
LONGVIEW TX
75601-4739
US

IV. Provider business mailing address

1100 N 4TH ST
LONGVIEW TX
75601-4739
US

V. Phone/Fax

Practice location:
  • Phone: 903-753-7661
  • Fax: 903-753-1056
Mailing address:
  • Phone: 903-753-7661
  • Fax: 903-753-1056

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: MICHAEL JON RUFF
Title or Position: CFO
Credential:
Phone: 214-205-6512