Provider Demographics
NPI:1821096140
Name:UVALDE COUNTY HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:UVALDE COUNTY HOSPITAL AUTHORITY
Other - Org Name:HEALTHCARE CLINIC OF SABINAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:BUCKNER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:830-278-6251
Mailing Address - Street 1:1025 GARNER FLD 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:830-278-3756
Practice Address - Street 1:517 N. CENTER ST
Practice Address - Street 2:
Practice Address - City:SABINAL
Practice Address - State:TX
Practice Address - Zip Code:78881-0509
Practice Address - Country:US
Practice Address - Phone:830-988-2985
Practice Address - Fax:830-988-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88230GOtherBCBS
TX458682Medicare ID - Type Unspecified