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NPI Code Detail

MEDICARE: FRIO HOSPITAL DISTRICT

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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1578157244
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRIO HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 901 PENNSYLVANIA AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2226
Country : US
Telephone Number : 817-335-3030
Fax Number :
Provider Business Practice Location Address
First Line : 901 PENNSYLVANIA AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2226
Country : US
Telephone Number : 817-335-3030
Fax Number :
Authorized Official
Title or Position : CFO
Name : MICHAEL JON RUFF
Credential :
Telephone Number : 214-205-6512
Provider Enumeration Date : 02/23/2021
Last Update Date : 05/22/2024

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Directions to “FRIO HOSPITAL DISTRICT ” Practice Location

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