Organization
REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT
Active
Parent organization
REFUGIO CO. MEMORIAL HOSPITAL
Other names
Austwell/Tivoli Medical Clinic, Austwell-Tivoli Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
REFUGIO CO. MEMORIAL HOSPITAL
Authorized official
MR. COREY WASICEK (CEO)
(361) 526-2321
Entity
Organization
Contact information
Practice address
106 W WILSON, TIVOLI, TX 77990-5802
(361) 286-0115
(361) 286-0256
Mailing address
106 W WILSON, TIVOLI, TX 77990-5802
(361) 286-0115
(361) 286-0256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QC0050X
Critical Access Hospital Clinic/Center
—
TX
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0636243-01
—
TX
05
—
063624302
—
TX
Enumeration date
05/27/2006
Last updated
06/12/2024
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