Healthcare Provider Details

I. General information

NPI: 1184208357
Provider Name (Legal Business Name): VAL VERDE COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 COLLEGE ST.
SULPHUR SPRINGS TX
75482-3431
US

IV. Provider business mailing address

4150 INTERNATIONAL PLAZA SUITE 600
FORT WORTH TX
76109-4831
US

V. Phone/Fax

Practice location:
  • Phone: 903-439-0107
  • Fax: 903-439-0147
Mailing address:
  • Phone: 817-348-8959
  • Fax: 817-348-0466

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: MRS. LINDA WALKER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 830-775-8566