MEDICARE: STRATFORD HOSPITAL DISTRICT D/B/A HILL COUNTRY CARE CENTER

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	314000000X	Skilled Nursing Facility	4838	TX

General Provider Information

NPI Number	:	1558775387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRATFORD HOSPITAL DISTRICT D/B/A HILL COUNTRY CARE CENTER

Provider Business Mailing Address
First Line	:	PO BOX 1189
Second Line	:
City	:	STRATFORD
State	:	TX
Zip	:	79084-1189
Country	:	US
Telephone Number	:	806-396-5568
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 HOSPITAL DR
Second Line	:
City	:	JUNCTION
State	:	TX
Zip	:	76849-3020
Country	:	US
Telephone Number	:	806-396-5568
Fax Number	:

Authorized Official
Title or Position	:	HOSPITAL DISTRICT CEO
Name	:	MS. LAURA J DAVIS
Credential	:	LNFA
Telephone Number	:	806-396-5568

Provider Enumeration Date	:	06/19/2014
Last Update Date	:	06/19/2014

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