Organization
MEDINA COUNTY HOSPITAL DISTRICT
Active
Organization
MEDINA COUNTY HOSPITAL DISTRICT
Active
Other names
Medical Clinic of Hondo
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN FROSCH (CHIEF FINANCIAL OFFICER)
(830) 426-5001
Entity
Organization
Contact information
Practice address
3200 AVENUE E, HONDO, TX 78861-3525
(830) 426-7444
(830) 426-7468
Mailing address
3100 AVENUE E, HONDO, TX 78861-3534
(830) 426-7700
(830) 426-7860
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
100046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080JS
BLUECROSS PROVIDER #
TX
05
—
2112245-01
—
TX
05
—
2112245-02
—
TX
01
—
2326068
AETNA PROVIDER #
TX
Enumeration date
09/08/2005
Last updated
02/04/2022
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