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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