# MEDINA COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cibolo Creek
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386876753
- **Authorized official:** MELISSA RIPPS (FINANCIAL ANALYST)
- **Authorized official phone:** (830) 426-7947

## Contact information

- **Practice address:** 1440 RIVER RD, BOERNE, TX 78006-9998
- **Practice address phone:** (936) 634-6633
- **Practice address fax:** (936) 634-6613
- **Mailing address:** 1440 RIVER RD, BOERNE, TX 78006-9998

## Taxonomy

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

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 07/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001017625 | — | TX |
| 05 | — | 001031685 | — | TX |