Healthcare Provider Details

I. General information

NPI: 1023173507
Provider Name (Legal Business Name): STARR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 03/09/2020
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 E BRAVO BLVD
ROMA TX
78584-5720
US

IV. Provider business mailing address

PO BOX 78
RIO GRANDE CITY TX
78582-0078
US

V. Phone/Fax

Practice location:
  • Phone: 956-849-2176
  • Fax: 956-849-4155
Mailing address:
  • Phone: 956-849-0674
  • Fax: 956-847-1777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. THALIA H MUNOZ
Title or Position: ADMINISTRATOR
Credential: RN, MS
Phone: 956-487-5561