Healthcare Provider Details

I. General information

NPI: 1912028598
Provider Name (Legal Business Name): UVALDE COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 S FM 1329
SAN DIEGO TX
78384-3925
US

IV. Provider business mailing address

138 S FM 1329
SAN DIEGO TX
78384-3925
US

V. Phone/Fax

Practice location:
  • Phone: 361-279-8291
  • Fax: 361-279-8260
Mailing address:
  • Phone: 361-279-8291
  • Fax: 361-279-8260

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: ADAM M APOLINAR
Title or Position: CEO
Credential:
Phone: 830-591-8479