MEDICARE: FRIO HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1043909682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIO HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	2660 BRICKYARD RD
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77703-4708
Country	:	US
Telephone Number	:	409-892-1533
Fax Number	:	409-892-1405

Provider Business Practice Location Address
First Line	:	2660 BRICKYARD RD
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77703-4708
Country	:	US
Telephone Number	:	409-892-1533
Fax Number	:	409-892-1405

Authorized Official
Title or Position	:	CFO
Name	:	MICHAEL JON RUFF
Credential	:
Telephone Number	:	214-205-6512

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	06/05/2025

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Directions to “FRIO HOSPITAL DISTRICT ” Practice Location

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