Provider Demographics
NPI:1215574959
Name:FRIO HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:FRIO HOSPITAL ASSOCIATION
Other - Org Name:READYCARE-DILLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RURAL HEALTH CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-334-2058
Mailing Address - Street 1:200 S INTERSTATE 35
Mailing Address - Street 2:
Mailing Address - City:PEARSALL
Mailing Address - State:TX
Mailing Address - Zip Code:78061-6601
Mailing Address - Country:US
Mailing Address - Phone:830-334-2058
Mailing Address - Fax:
Practice Address - Street 1:801 FM W 117
Practice Address - Street 2:
Practice Address - City:DILLY
Practice Address - State:TX
Practice Address - Zip Code:78017
Practice Address - Country:US
Practice Address - Phone:830-334-2058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRIO HOSPITAL ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-02
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center