Provider Demographics
NPI:1043343486
Name:STRATFORD HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:STRATFORD HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:BOGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-396-5568
Mailing Address - Street 1:PO BOX 1189
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:TX
Mailing Address - Zip Code:79084-1189
Mailing Address - Country:US
Mailing Address - Phone:806-396-5568
Mailing Address - Fax:806-396-5930
Practice Address - Street 1:1111 BEAVER RD
Practice Address - Street 2:BOX 1189
Practice Address - City:STRATFORD
Practice Address - State:TX
Practice Address - Zip Code:79084-1189
Practice Address - Country:US
Practice Address - Phone:806-396-5568
Practice Address - Fax:806-396-5930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare