Provider Demographics
NPI:1780956045
Name:ESPERANZA HEALTH SYSTEMS, LTD
Entity type:Organization
Organization Name:ESPERANZA HEALTH SYSTEMS, LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ART
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDIVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-238-4222
Mailing Address - Street 1:P.O. BOX 1
Mailing Address - Street 2:
Mailing Address - City:HUNT
Mailing Address - State:TX
Mailing Address - Zip Code:78024-0001
Mailing Address - Country:US
Mailing Address - Phone:830-238-4222
Mailing Address - Fax:830-238-6105
Practice Address - Street 1:429 EARL GARRETT STREET
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4530
Practice Address - Country:US
Practice Address - Phone:830-238-4222
Practice Address - Fax:830-238-6105
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESPERANZA HEALTH SYSTEMS, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder