=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336021500
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SUTTON COUNTY HOSPITAL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2025
-----------------------------------------------------
Last Update Date | 07/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 417 HIGHWAY 277 N
-----------------------------------------------------
City | SONORA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76950-2204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 325-387-2541
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 455
-----------------------------------------------------
City | SONORA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76950-0455
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 325-387-1210
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | MRS. CHRIS BADGETT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 325-387-1210
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------