# WEST WHARTON COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Huebner Creek Health & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023443579
- **Authorized official:** DAVID H MAK (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (979) 578-5250

## Contact information

- **Practice address:** 8306 HUEBNER ROAD, SAN ANTONIO, TX 78240-1864
- **Practice address phone:** (210) 691-3111
- **Practice address fax:** (210) 691-3118
- **Mailing address:** 4150 INTERNATIONAL PLAZA, SUITE 600, FORT WORTH, TX 76109-4831
- **Mailing address phone:** (817) 348-8959
- **Mailing address fax:** (817) 348-0466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2013
- **Last updated:** 07/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001025459 | — | TX |
| 01 | — | 102785 | DADS FACID | TX |
| 01 | — | 5491 | MEDICAID VENDOR CROSS REFERENCE | TX |