Provider Demographics
NPI:1952308132
Name:FRIO HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:FRIO HOSPITAL ASSOCIATION
Other - Org Name:FRIO REGIONAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-334-3617
Mailing Address - Street 1:200 S INTERSTATE 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:830-334-9812
Practice Address - Street 1:200 S INTERSTATE 35
Practice Address - Street 2:
Practice Address - City:PEARSALL
Practice Address - State:TX
Practice Address - Zip Code:78061-6601
Practice Address - Country:US
Practice Address - Phone:830-334-3617
Practice Address - Fax:830-334-9812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207P00000X, 261QC0050X
TX282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC0050XAmbulatory Health Care FacilitiesClinic/CenterCritical Access Hospital
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112688001Medicaid
TX082778401Medicaid
TX112688002Medicaid
TXHH0550OtherBCBS OF TEXAS FACILITY
TX007047601Medicaid
TXCD7478OtherMEDICARE PALMETTO GBA GROUP# PART B
TX0G95POtherBCBS OF TX ER PHYS GROUP
TXCH3467OtherMEDICARE PALMETTO GBA GROUP# RAILROAD PART B
TX007047601Medicaid
TXCD7478OtherMEDICARE PALMETTO GBA GROUP# PART B
TXCH3467OtherMEDICARE PALMETTO GBA GROUP# RAILROAD PART B