Healthcare Provider Details

I. General information

NPI: 1669422275
Provider Name (Legal Business Name): MEDINA COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 EASTWOOD DR
SEGUIN TX
78155-5134
US

IV. Provider business mailing address

1210 EASTWOOD DR
SEGUIN TX
78155-5134
US

V. Phone/Fax

Practice location:
  • Phone: 830-379-9308
  • Fax: 830-379-0703
Mailing address:
  • Phone: 830-379-9308
  • Fax: 830-379-0703

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: TIMOTHY HARDT
Title or Position: CHAIRMAN
Credential:
Phone: 830-426-7700