=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790749067
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STARR COUNTY HOSPITAL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2006
-----------------------------------------------------
Last Update Date | 08/28/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 422 E 18TH ST
-----------------------------------------------------
City | WESLACO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78596-8032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-973-8451
-----------------------------------------------------
Fax | 956-973-8454
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 422 E 18TH ST
-----------------------------------------------------
City | WESLACO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78596-8032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-973-8451
-----------------------------------------------------
Fax | 956-973-8454
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | MS. THALIA MUNOZ
-----------------------------------------------------
Credential | CEO
-----------------------------------------------------
Telephone | 956-487-5561
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 313M00000X
-----------------------------------------------------
Taxonomy Name | Nursing Facility/Intermediate Care Facility
-----------------------------------------------------
License Number | 115668
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number | 676037
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------