Provider Demographics
NPI:1407809684
Name:FRIO HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:FRIO HOSPITAL DISTRICT
Other - Org Name:HILL COUNTRY HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-334-3617
Mailing Address - Street 1:200 S IH 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:830-334-3617
Mailing Address - Fax:
Practice Address - Street 1:507 E GREEN ST
Practice Address - Street 2:
Practice Address - City:LLANO
Practice Address - State:TX
Practice Address - Zip Code:78643-2717
Practice Address - Country:US
Practice Address - Phone:325-247-4115
Practice Address - Fax:325-247-3978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116403314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000407807Medicaid
TX004078OtherFACILITY ID NO.
TX004078OtherFACILITY ID NO.
TX455958Medicare Oscar/Certification