Healthcare Provider Details

I. General information

NPI: 1992902498
Provider Name (Legal Business Name): STRATFORD HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 06/15/2020
Certification Date: 06/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4306 24TH ST
LUBBOCK TX
79410-1818
US

IV. Provider business mailing address

1111 BEAVER ROAD
STRATFORD TX
79084
US

V. Phone/Fax

Practice location:
  • Phone: 806-793-2555
  • Fax:
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: RICHARD CHUMLEY
Title or Position: PRESIDENT
Credential:
Phone: 806-396-5568