Provider Demographics
NPI:1518915099
Name:UVALDE COUNTY HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:UVALDE COUNTY HOSPITAL AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NORWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-278-6251
Mailing Address - Street 1:1902 FM 3036
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78382-9691
Mailing Address - Country:US
Mailing Address - Phone:361-729-9971
Mailing Address - Fax:361-729-1499
Practice Address - Street 1:1902 FM 3036
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-9691
Practice Address - Country:US
Practice Address - Phone:361-729-9971
Practice Address - Fax:361-729-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001025975Medicaid
TX455974Medicare Oscar/Certification
TX455974Medicare Oscar/Certification