MEDICARE: HIDALGO COUNTY HEALTH DEPARTMENT

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	251B00000X	Case Management Agency		TX

General Provider Information

NPI Number	:	1700997475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIDALGO COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	1304 S 25TH AVE
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-7205
Country	:	US
Telephone Number	:	956-383-6221
Fax Number	:	956-383-8864

Provider Business Practice Location Address
First Line	:	1304 S 25TH AVE
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-7205
Country	:	US
Telephone Number	:	956-383-6221
Fax Number	:	956-383-8864

Authorized Official
Title or Position	:	CHIEF ADMINISTRATOR
Name	:	MR. EDUARDO OLIVAREZ
Credential	:
Telephone Number	:	956-383-6221

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/24/2008

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