UVALDE COUNTY HOSPITAL AUTHORITY , NPI 1821096140 — HEALTHCARE CLINIC OF SABINAL in SABINAL (TX)

NPI 1821096140

14+ Years Experience Organization

UVALDE COUNTY HOSPITAL AUTHORITY

Other organization name: HEALTHCARE CLINIC OF SABINAL. Name type code: 3 - doing business as (d/b/ a) name.

07.11.2005
PROVIDER ENUMERATION DATE
04/20/2008
LAST UPDATE DATE
1821096140
NPI NUMBER

About UVALDE COUNTY HOSPITAL AUTHORITY

UVALDE COUNTY HOSPITAL AUTHORITY is a provider established in SABINAL, TX. The NPI number of UVALDE COUNTY HOSPITAL AUTHORITY is 1821096140 and was assigned on 07.11.2005. The practitioners primary taxonomy code is: 261QR1300X with license number: ========= TX .

Mailing address

  • City: UVALDE
  • State: TX
  • Postal code: 788014809
  • Phone: 8302786251
  • Fax: 8302783756
  • Address: 1025 GARNER FLD RD

Primary Practice Address

  • Region : SABINAL, TX
  • NPI : 1821096140
  • Phone : 8309882985
  • Fax : 8309882410
  • Postalcode : 788810509
  • Address : 517 N. CENTER ST

Additional identifiers

  • Identifier: 88230G
  • Code / Type : 1 - other
  • Identifier state : TX
  • Identifier issuer: BCBS

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Provider taxonomy - Clinic/Center

  • Taxonomy code: 261QR1300X
  • License number: =========
  • License state: TX

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • UVALDE COUNTY HOSPITAL AUTHORITY
  • Address : 517 N. CENTER ST
  • Region : SABINAL, TX
  • NPI : 1821096140
  • Phone : 8309882985
  • Fax : 8309882410
  • Postalcode : 788810509

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 8302786251
  • Title or position : ADMINISTRATOR

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address517 N. CENTER ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameSABINAL
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameTX
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code788810509
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number8309882985
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number8309882410
The fax number associated with the location address of the provider being identified.
NPI1821096140
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1261QR1300X
Provider Enumeration Date07.11.2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated04/20/2008
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)UVALDE COUNTY HOSPITAL AUTHORITY
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider Other Organization NameHEALTHCARE CLINIC OF SABINAL
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code3
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address1025 GARNER FLD RD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameUVALDE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameTX
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code788014809
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number8302786251
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number8302783756
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameBUCKNER
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameJAMES
The first name of the authorized official
Authorized Official Middle NameE
The middle name of the authorized official
Authorized Official Title or PositionADMINISTRATOR
The title or position of the authorized official
Authorized Official Telephone Number8302786251
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1261QR1300X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Clinic/Center
Provider License Number 1=========
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1TX
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 188230G
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1TX
Other Provider Identifier State #1
Other Provider Identifier Issuer 1BCBS
Other Provider Identifier Issuer #1
X

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