Healthcare Provider Details
I. General information
NPI: 1205945391
Provider Name (Legal Business Name): STARR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2006
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2530 CENTRAL PALM DR
RIO GRANDE CITY TX
78582-6648
US
IV. Provider business mailing address
2530 CENTRAL PALM DR
RIO GRANDE CITY TX
78582-6648
US
V. Phone/Fax
- Phone: 956-487-3996
- Fax: 956-487-1321
- Phone: 956-487-3996
- Fax: 956-487-1321
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 313M00000X |
| Taxonomy | Nursing Facility/Intermediate Care Facility |
| License Number | 118805 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | 676119 |
| License Number State | TX |
VIII. Authorized Official
Name: MISS
THALIA
MUNOZ
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 956-487-5561