Provider Demographics
NPI:1659722197
Name:UVALDE COUNTY HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:UVALDE COUNTY HOSPITAL AUTHORITY
Other - Org Name:SABINAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN PRACTICE DIRECTOR
Authorized Official - Prefix:
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 1:1025 GARNER FIELD RD
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-4809
Mailing Address - Country:US
Mailing Address - Phone:830-278-6251
Mailing Address - Fax:
Practice Address - Street 1:517 NORTH CENTER STREET
Practice Address - Street 2:
Practice Address - City:SABINAL
Practice Address - State:TX
Practice Address - Zip Code:78881
Practice Address - Country:US
Practice Address - Phone:830-278-6251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X
TX261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care