Healthcare Provider Details

I. General information

NPI: 1063509248
Provider Name (Legal Business Name): STRATFORD HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2006
Last Update Date: 11/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6650 S SONCY RD
AMARILLO TX
79119-6655
US

IV. Provider business mailing address

1111 BEAVER ROAD
STRATFORD TX
79084
US

V. Phone/Fax

Practice location:
  • Phone: 806-457-6700
  • Fax: 806-457-6705
Mailing address:
  • Phone: 806-396-2844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: LAURA DAVIS
Title or Position: CEO
Credential:
Phone: 806-396-2844