Healthcare Provider Details

I. General information

NPI: 1396159760
Provider Name (Legal Business Name): SUTTON COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 01/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 W MAIN STREET
ROCKSPRINGS TX
78880
US

IV. Provider business mailing address

PO BOX 96
ROCKSPRINGS TX
78880-0096
US

V. Phone/Fax

Practice location:
  • Phone: 325-387-2521
  • Fax: 325-387-2396
Mailing address:
  • Phone: 325-387-2521
  • Fax: 325-387-2396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE SCHAEFER
Title or Position: CFO
Credential:
Phone: 325-387-1210