Healthcare Provider Details

I. General information

NPI: 1720492523
Provider Name (Legal Business Name): STRATFORD HOSPITAL DISTRICT D/B/A VALLEY VIEW CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 06/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 LIBERTY LN
ANSON TX
79501-2105
US

IV. Provider business mailing address

PO BOX 1189
STRATFORD TX
79084-1189
US

V. Phone/Fax

Practice location:
  • Phone: 806-396-5568
  • Fax:
Mailing address:
  • Phone: 806-396-5568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4550
License Number StateTX

VIII. Authorized Official

Name: MS. LAURA J DAVIS
Title or Position: CEO STRATFORD HOSPITAL DISTRICT
Credential: LNFA
Phone: 806-396-5568