Healthcare Provider Details
I. General information
NPI: 1023476330
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: 07/27/2022
Certification Date: 07/27/2022
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
- Phone: 325-387-2521
- Fax: 325-387-2396
- Phone: 325-387-2521
- Fax: 325-387-2396
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CHRIS
A
BADGETT
Title or Position: CFO
Credential: PHD
Phone: 325-387-2521