Healthcare Provider Details

I. General information

NPI: 1780077479
Provider Name (Legal Business Name): STRATFORD HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2015
Last Update Date: 10/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 W 7TH ST
POST TX
79356-3141
US

IV. Provider business mailing address

PO BOX 1189
STRATFORD TX
79084
US

V. Phone/Fax

Practice location:
  • Phone: 806-495-2848
  • 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 Number
License Number StateTX

VIII. Authorized Official

Name: MR. RICHARD CHUMLEY
Title or Position: PRESIDENT
Credential:
Phone: 806-396-5568