Healthcare Provider Details

I. General information

NPI: 1750120572
Provider Name (Legal Business Name): FRIO HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 RUTHLYNN DR
LONGVIEW TX
75605-5635
US

IV. Provider business mailing address

111 RUTHLYNN DR
LONGVIEW TX
75605-5635
US

V. Phone/Fax

Practice location:
  • Phone: 903-757-2557
  • Fax:
Mailing address:
  • Phone: 903-757-2557
  • Fax:

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: MICHAEL JON RUFF
Title or Position: CFO
Credential:
Phone: 830-334-6617