Organization
MEDINA COUNTY HOSPITAL DISTRICT
Active
Other names
Las Colinas of Westover
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S. HACKEBEIL (PRESIDENT)
(830) 426-7898
Entity
Organization
Contact information
Practice address
9738 WESTOVER HILLS BLVD, SAN ANTONIO, TX 78251-4583
(210) 305-5730
(210) 305-5731
Mailing address
9738 WESTOVER HILLS BLVD, SAN ANTONIO, TX 78251-4583
(210) 305-5730
(210) 305-5731
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
144219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026558
—
TX
Enumeration date
12/10/2014
Last updated
04/01/2017
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