MEDICARE: STARR COUNTY HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366507477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARR COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 78
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-0078
Country	:	US
Telephone Number	:	956-487-0453
Fax Number	:	956-487-6190

Provider Business Practice Location Address
First Line	:	128 N FM 3167
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-6211
Country	:	US
Telephone Number	:	956-487-2892
Fax Number	:	956-487-6190

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. THALIA H MUNOZ
Credential	:	RN, MS
Telephone Number	:	956-487-5561

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	02/01/2022

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Directions to “STARR COUNTY HOSPITAL DISTRICT ” Practice Location

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