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
1	261QR1300X	Rural Health Clinic/Center		TX

General Provider Information

NPI Number	:	1538100136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAMFORD HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 910
Second Line	:
City	:	STAMFORD
State	:	TX
Zip	:	79553-0910
Country	:	US
Telephone Number	:	325-773-5733
Fax Number	:	325-773-3781

Provider Business Practice Location Address
First Line	:	1601 COLUMBIA ST STE A
Second Line	:
City	:	STAMFORD
State	:	TX
Zip	:	79553
Country	:	US
Telephone Number	:	325-773-5733
Fax Number	:	325-773-3781

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	BIRGITTA NEAL
Credential	:
Telephone Number	:	325-773-2725

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	04/16/2020

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Directions to “STAMFORD HOSPITAL DISTRICT ” Practice Location

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