Provider Demographics
NPI:1316944390
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:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:BUCKNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-278-6251
Mailing Address - Street 1:124 ROYAL LN
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-4838
Mailing Address - Country:US
Mailing Address - Phone:830-278-6251
Mailing Address - Fax:830-278-3756
Practice Address - Street 1:124 ROYAL LN
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4838
Practice Address - Country:US
Practice Address - Phone:830-278-6691
Practice Address - Fax:930-278-7533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000063251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024112701Medicaid
TXHH010COtherBLUE CROSS BLUE SHIELD
TX024112701Medicaid