Provider Demographics
NPI:1235460254
Name:VAL VERDE REGIONAL MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:VAL VERDE REGIONAL MEDICAL CENTER, INC.
Other - Org Name:VAL VERDE REGIONAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:FORREST
Authorized Official - Middle Name:
Authorized Official - Last Name:WHICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-774-4580
Mailing Address - Street 1:801 N BEDELL AVE
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-4112
Mailing Address - Country:US
Mailing Address - Phone:830-774-4580
Mailing Address - Fax:830-774-2485
Practice Address - Street 1:801 N BEDELL AVE
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-4112
Practice Address - Country:US
Practice Address - Phone:830-774-4580
Practice Address - Fax:830-774-2485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
275N00000X
TX282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit