Healthcare Provider Details

I. General information

NPI: 1295193506
Provider Name (Legal Business Name): SUTTON COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 HUDSPETH ST
SONORA TX
76950-8003
US

IV. Provider business mailing address

PO BOX 455
SONORA TX
76950-0455
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 Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: CHRIS BADGETT
Title or Position: CFO
Credential:
Phone: 325-387-1210