Healthcare Provider Details

I. General information

NPI: 1407255110
Provider Name (Legal Business Name): STRATFORD HOSPITAL DISTRICT D/B/A BORGER HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2014
Last Update Date: 08/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 S FLORIDA ST
BORGER TX
79007-6306
US

IV. Provider business mailing address

PO BOX 1189
STRATFORD TX
79084-1189
US

V. Phone/Fax

Practice location:
  • Phone: 806-396-5568
  • Fax: 806-396-5930
Mailing address:
  • Phone: 806-396-5568
  • Fax: 806-396-5930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number5044
License Number StateTX

VIII. Authorized Official

Name: RICHARD CHUMLEY
Title or Position: PRESIDENT, SHD BOARD OF DIRECTORS
Credential:
Phone: 806-396-5568