Healthcare Provider Details

I. General information

NPI: 1720623622
Provider Name (Legal Business Name): STRATFORD HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2019
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 OAK GROVE BLVD.
SAN ANGELO TX
76904
US

IV. Provider business mailing address

4343 OAK GROVE BLVD.
SAN ANGELO TX
76904
US

V. Phone/Fax

Practice location:
  • Phone: 325-949-2559
  • Fax: 325-949-3598
Mailing address:
  • Phone: 325-949-2559
  • Fax: 325-949-3598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

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