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NPI Code Detail

MEDICARE: STAMFORD HOSPITAL DISTRICT

MEDICARE: STAMFORD HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician
22085U0001XDiagnostic Ultrasound Physician
3246Z00000XOther Specialist/Technologist
4247100000XRadiologic Technologist

General Provider Information

NPI Number : 1346883923
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAMFORD HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1601 COLUMBIA ST
Second Line :
City : STAMFORD
State : TX
Zip : 79553-6863
Country : US
Telephone Number : 325-773-2725
Fax Number : 325-773-4869
Provider Business Practice Location Address
First Line : 1601 COLUMBIA ST
Second Line :
City : STAMFORD
State : TX
Zip : 79553-6863
Country : US
Telephone Number : 325-773-2725
Fax Number : 325-773-4869
Authorized Official
Title or Position : INTERIM CEO
Name : MR. WILLIAM DEE HADDOCK
Credential :
Telephone Number : 325-773-2725
Provider Enumeration Date : 10/25/2019
Last Update Date : 07/21/2021

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Directions to “STAMFORD HOSPITAL DISTRICT ” Practice Location

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