Provider Demographics
NPI:1437698156
Name:UVALDE COUNTY HOSPITAL AUTHORITY DBA SABINAL HEALTH CLINIC
Entity Type:Organization
Organization Name:UVALDE COUNTY HOSPITAL AUTHORITY DBA SABINAL HEALTH CLINIC
Other - Org Name:SABINAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN PRACTICE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:K
Authorized Official - Last Name:NUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-278-3086
Mailing Address - Street 1:1195 GARNER FIELD RD
Mailing Address - Street 2:STE 300
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-4820
Mailing Address - Country:US
Mailing Address - Phone:830-278-3086
Mailing Address - Fax:830-278-8873
Practice Address - Street 1:517 N CENTER ST
Practice Address - Street 2:
Practice Address - City:SABINAL
Practice Address - State:TX
Practice Address - Zip Code:78881
Practice Address - Country:US
Practice Address - Phone:830-988-2582
Practice Address - Fax:830-988-2580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health