Healthcare Provider Details

I. General information

NPI: 1447574819
Provider Name (Legal Business Name): FRIO HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S IH 35
PEARSALL TX
78061-6601
US

IV. Provider business mailing address

200 S IH 35
PEARSALL TX
78061-6601
US

V. Phone/Fax

Practice location:
  • Phone: 830-334-3617
  • Fax: 830-334-9812
Mailing address:
  • Phone: 830-334-3617
  • Fax: 830-334-9812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL S THOMPSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 830-334-3617