Organization
SAN BENITO HEALTHCARE 1, LLC
Active
Other names
Dolly Vinsant Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR KOZLIK (CHIEF EXECUTIVE OFFICER)
(956) 365-5236
Entity
Organization
Contact information
Practice address
400 E HWY 77, SAN BENITO, TX 78586-5310
(956) 365-5200
(956) 365-5251
Mailing address
400 E HWY 77, P.O. BOX 42, SAN BENITO, TX 78586-5310
(956) 365-5200
(956) 365-5251
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
000245
TX
Other
Enumeration date
03/29/2006
Last updated
08/22/2020
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