Organization
MEDINA COUNTY HOSPITAL DISTRICT
Active
Other names
Medina Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN FROSCH (CHIEF FINANCIAL OFFICER)
(830) 426-5001
Entity
Organization
Contact information
Practice address
3100 AVENUE E, HONDO, TX 78861-3534
(830) 426-7700
(830) 426-7988
Mailing address
3100 AVENUE E, HONDO, TX 78861-3534
(830) 426-7700
(830) 426-7988
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
100046
TX
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0520593
AETNA
TX
05
—
212140201
—
TX
01
—
212140202
MEDICAID ASC-HOSPITAL BASED
TX
01
—
HH0562
BLUECROSS
TX
Enumeration date
10/21/2005
Last updated
02/17/2020
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