Healthcare Provider Details

I. General information

NPI: 1952481350
Provider Name (Legal Business Name): CUERO COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 N ESPLANADE ST
CUERO TX
77954-4736
US

IV. Provider business mailing address

PO BOX 630
CUERO TX
77954-0630
US

V. Phone/Fax

Practice location:
  • Phone: 361-275-6191
  • Fax: 361-275-3999
Mailing address:
  • Phone: 361-275-6191
  • Fax: 361-275-3999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number StateTX

VIII. Authorized Official

Name: FRANK DARRYL STEFKA
Title or Position: CEO
Credential:
Phone: 361-275-6191