Healthcare Provider Details

I. General information

NPI: 1699804534
Provider Name (Legal Business Name): STARR COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1861 N HIGHWAY 83
ROMA TX
78584-0000
US

IV. Provider business mailing address

PO BOX 78
RIO GRANDE CITY TX
78582-0078
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
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